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DR. DANIEL CLARK ABENROTH M.D. NPI 1053678342


NPI Information

NPI: 1053678342
Provider Name: DR. DANIEL CLARK ABENROTH, M.D.
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
9TH FLOOR -- NEUROSCIENCES
190 E BANNOCK ST.
BOISE, ID
ZIP 83712
Phone: (208) 381-7335
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DR. Daniel Clark Abenroth, M.D. is a vascular neurology psychiatry neurology in Boise, ID with 12 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Daniel Clark Abenroth, M.D. NPI is 1053678342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2012

The provider's business location address is:

9TH FLOOR -- NEUROSCIENCES
190 E BANNOCK ST.
BOISE, ID
ZIP 83712-905
Phone: (208) 381-7335

The NPI 1053678342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyM-13696IDAHONo
22084V0102XPsychiatry & NeurologyVascular NeurologyM-13696IDAHOYes

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: 11/14/2023

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