RAQUEL CROITORU (NPI# 1164525853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164525853 |
Entity Type | Individual |
Full Name | RAQUEL CROITORU |
Credential | M.D. |
Practice Address |
222 W Iowa Ave Ste A Nampa ID 83686-6814 |
Practice Telephone | 2084673432 |
Practice Fax Number | 2084674147 |
Mailing Telephone | 2084673432 |
Mailing Fax Number | 2084674147 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M-5744 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | TAX I.D. NUMBER | 820451495 | 01 |
ID | 002701100 | 05 | |
ID | BLUE CROSS OF IDAHO | 57448 | 01 |
ID | REGENCE BLUE SHIELD OF ID | 000010004790 | 01 |
Street Address |
222 W IOWA AVE STE A |
City | NAMPA |
State | ID |
Zip Code | 83686-6814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
Find all providers in zip 83686 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164515276 | Healing Arts Day Surgery LLC | Internal Medicine | 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 | 2006-10-02 |
1194817023 | Treasure Valley Gastroenterology Specialists Inc | Internal Medicine | 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 | 2006-09-28 |
1891310561 | Digestive Health Clinic LLC | Internal Medicine | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
1679890057 | Walter W Hair | Internal Medicine | 1402 N Promontory Rd, Boise, ID 83702-3040 | 2010-04-26 |
1659492809 | Bruce R Croffy | Internal Medicine | 3000 E Pine Ave, Meridian, ID 83642-5995 | 2007-04-03 |
1598843039 | Judith Erika Csanky | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2006-11-01 |
1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
1740386432 | John Carl Morgenstern | Internal Medicine | 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 | 2006-09-16 |
1295754265 | Southeast Idaho Gastroenterology,pllc | Internal Medicine | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
1184619165 | Paul H Baehr | Internal Medicine | 425 W Bannock St, Boise, ID 83702-6035 | 2005-09-15 |
1962495283 | Harold G Preiksaitis | Internal Medicine | 1607 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2476 | 2005-08-23 |
1295738797 | Eric A Wingerson | Internal Medicine | 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 | 2005-05-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.