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 |
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| Provider Name : | Theodore K Krisher |
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| Credential : | MD |
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| Gender : | Male |
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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 |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-6348 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Oct, 2006 |
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| Last Updated On : | 08 Mar, 2016 |
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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 |
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| Medicare Enrollment ID : | I20100816000346 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Ohio State University College Of Medicine |
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| Graduation Year : | 1974 |
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| Accepts Medicare? | Yes. Theodore K Krisher accepts medicare insurance. |
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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 ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Catalyst Medical Group, Pllc | 2365722105 | 39 | 2315 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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD00040584 | WA |
| 208000000X | Pediatrics | Yes | M3676 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Theodore K Krisher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| DF508 | Other | ID | BLUE CROSS |
| 1396828158 | MEDICAID | ID | |
| 0171659 | Other | WA | WA LABOR & INDUSTRIES |
| 1396828158 | Other | ID | REGENCE BLUESHIELD |
| 1089838 | MEDICAID | WA | |
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 |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-6348 |
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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.