DR. TERRENCE A STOLL M.D. NPI 1447288121

NPI Information

NPI: 1447288121
Provider Name: DR. TERRENCE A STOLL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
8540 W ATWATER DR
GARDEN CITY, ID
ZIP 83714
Phone: (208) 880-6010
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DR. Terrence A Stoll, M.D. is a specialist in Garden City, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Terrence A Stoll, M.D. NPI is 1447288121. 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:

8540 W ATWATER DR
GARDEN CITY, ID
ZIP 83714-801
Phone: (208) 880-6010

The enumeration date for this NPI number is 6/29/2006 and was last updated on 11/2/2010.

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	2085R0202X	Radiology	Diagnostic Radiology	MD 00047952	WASHINGTON	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	MD 00047952	WASHINGTON	No
3	2085B0100X	Radiology	Body Imaging	MD 00047952	WASHINGTON	No
4	2085N0904X	Radiology	Nuclear Radiology	MD 00047952	WASHINGTON	No
5	2085P0229X	Radiology	Pediatric Radiology	MD 00047952	WASHINGTON	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	MD 00047952	WASHINGTON	No
7	2085N0700X	Radiology	Neuroradiology	MD 00047952	WASHINGTON	No
8	2085R0202X	Radiology	Diagnostic Radiology	M6733	IDAHO	No
9	2085R0202X	Radiology	Diagnostic Radiology	3929	NORTH DAKOTA	No
10	174400000X	Specialist		MD 00047952	WASHINGTON	No
11	174400000X	Specialist		3929	NORTH DAKOTA	No
12	174400000X	Specialist		2963A	WYOMING	No
13	174400000X	Specialist		M6733	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	A72991	MEDICARE UPIN
2	1133147	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
3	003929000	MEDICAID	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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