MR. DAVID K CROSHAW DPM NPI 1518949684

NPI Information

NPI: 1518949684
Provider Name: MR. DAVID K CROSHAW, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1155 POCATELLO CREEK RD
POCATELLO, ID
ZIP 83201
Phone: (208) 232-0006
Get Directions

MR. David K Croshaw, DPM is a podiatrist in Pocatello, ID. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MR. David K Croshaw, DPM NPI is 1518949684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1155 POCATELLO CREEK RD
POCATELLO, ID
ZIP 83201-949
Phone: (208) 232-0006
Fax: (208) 233-8771

The enumeration date for this NPI number is 11/15/2005 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		P92	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000806000	MEDICAID	IDAHO
2	T44251	MEDICARE UPIN
3	1350445	MEDICARE ID-TYPE UNSPECIFIED	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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