BRUCE R CROFFY (NPI# 1659492809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659492809 |
Entity Type | Individual |
Full Name | BRUCE R CROFFY |
Credential | M.D. |
Practice Address |
3000 E Pine Ave Meridian ID 83642-5995 |
Mailing Address |
2145 E Trail Blazer Dr Meridian ID 83646-5255 |
Practice Telephone | 2082863762 |
Mailing Telephone | 2086390415 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2009-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
49473 | MA | Allopathic & Osteopathic Physicians |
Street Address |
3000 E PINE AVE |
City | MERIDIAN |
State | ID |
Zip Code | 83642-5995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
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 |
---|---|---|---|---|
1558774174 | Stephen Robert Chow | Internal Medicine | 1314 19th Ave Dept Of, Meridian, MS 39301-4116 | 2014-06-11 |
1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
1376040121 | Anderson Regional Medical Center | Internal Medicine | 2124 14th St, Meridian, MS 39301-4040 | 2018-04-09 |
1194198333 | Akshay K. Gupta, M.d., Chartered | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2015-11-10 |
1699150623 | Brian Story Md Chartered | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2015-07-20 |
1275863243 | John T. Witte, M.d., P.a. | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2010-01-13 |
1811123961 | Kirsten J Morigeau | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2009-06-03 |
1568697894 | Chad A. Morse, M.d., Chartered | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2009-05-15 |
1336302223 | Jermaine Compton Ralph | Internal Medicine | 1314 19th Ave, Meridian, MS 39301-4116 | 2008-07-09 |
1851551089 | Brian T Story | Internal Medicine | 2235 E Gala St, Meridian, ID 83642-8026 | 2008-06-11 |
Find all providers in MERIDIAN |
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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.