DR. TERRENCE A STOLL (NPI# 1447288121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447288121 |
| Entity Type | Individual |
| Full Name | DR. TERRENCE A STOLL |
| Credential | M.D. |
| Practice Address |
8540 W Atwater Dr Garden City ID 83714-1801 |
| Practice Telephone | 2088806010 |
| Mailing Telephone | 2088806010 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2963A | WY | Other Service Providers |
| N | 174400000X | Specialist | 3929 | ND | Other Service Providers |
| N | 174400000X | Specialist | MD 00047952 | WA | Other Service Providers |
| Y | 174400000X | Specialist | M6733 | ID | Other Service Providers |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
MD 00047952 | WA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD 0004795 | WA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD 00047952 | WA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MD 0004795 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
3929 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M6733 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD 0004795 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD 0004795 | WA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MD 0004795 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003929000 | 05 |
| Street Address |
8540 W ATWATER DR |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936797 | Catey Lynn Weiner | Specialist | 1208 Mitchel Field Way, Garden City, NY 11530-5063 | 2020-09-10 |
| 1164040705 | New Horizons Gastroenterology, Pllc | Specialist | 585 Stewart Ave Ste 412, Garden City, NY 11530-4701 | 2020-07-09 |
| 1497212443 | Albert William Heuser Iv | Specialist | 81 Garden St, Garden City, NY 11530-6506 | 2019-02-26 |
| 1881165785 | Michael Biancaniello | Specialist | 114 Hayes St, Garden City, NY 11530-2518 | 2018-12-17 |
| 1710465893 | Michael E Wess | Specialist | 34 Wellington Rd, Garden City, NY 11530-4148 | 2018-08-01 |
| 1114403417 | Kerin Sanford | Specialist | 173 Brixton Rd, Garden City, NY 11530-1323 | 2018-07-19 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1013419936 | Lorelyn Fitzgerald | Specialist | 18 Saint James St S, Garden City, NY 11530-6219 | 2018-03-07 |
| 1922512995 | Michelle Lynne Gould | Specialist | 300 Garden City Plz Ste 300, Garden City, NY 11530-3331 | 2017-11-28 |
| 1386158095 | George Andrew Reichenbach I | Specialist | 97 Roosevelt St, Garden City, NY 11530-3938 | 2017-11-17 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
Please comment or provide details below to improve the information on DR. TERRENCE A STOLL.
| 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.