Theodore K Krisher

MD | Pediatrics | Male

Theodore K Krisher, MD is a Lewiston, Idaho based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Theodore K Krisher is 2315 8th St, Lewiston, Idaho - 83501-7301. He can be contacted on phone at 208-746-1383 and fax number 208-746-6348. Theodore K Krisher is a sole proprietor of his business.
NPI number (Unique professional ID) for Theodore K Krisher is 1396828158 which was assigned by NPPES on 23 Oct, 2006 and it was last updated on 08 Mar, 2016. Theodore K Krisher license number is M3676 for Pediatrics (208000000X) in Idaho.
Theodore K Krisher is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Theodore K Krisher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Theodore K Krisher
Credential :MD
Gender :Male
Business Address:
Theodore K Krisher address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :2315 8th St
Lewiston, ID, 83501-7301
United States
Phone Number :208-746-1383
Fax Number :208-746-6348
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1396828158
NPI Entity Type : Individual
First Enrolment Date : 23 Oct, 2006
Last Updated On : 08 Mar, 2016
Medicare Participation:
Theodore K Krisher participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :3072694405
Medicare Enrollment ID :I20100816000346
Primary Specialty :Pediatric Medicine
Medical School :Ohio State University College Of Medicine
Graduation Year :1974
Accepts Medicare?Yes. Theodore K Krisher accepts medicare insurance.
Group Practice Association:
Theodore K Krisher is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Theodore K Krisher is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Catalyst Medical Group, Pllc2365722105392315 8th St
Lewiston, ID - 835017301
Ph: 2087461383
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore K Krisher are as mentioned. Primary taxonomy code for Theodore K Krisher, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNoMD00040584WA
208000000XPediatricsYesM3676ID
Legacy Identifiers:
Other legacy medical identifiers of Theodore K Krisher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
DF508OtherIDBLUE CROSS
1396828158MEDICAIDID
0171659OtherWAWA LABOR & INDUSTRIES
1396828158OtherIDREGENCE BLUESHIELD
1089838MEDICAIDWA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :2315 8th St
Lewiston, ID, 83501-7301
United States
Phone Number :208-746-1383
Fax Number :208-746-6348
Business Location:
Patients can refer following map for directions to Theodore K Krisher practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.