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SAMANTHA CRAGG M.D. NPI 1699071217


NPI Information

NPI: 1699071217
Provider Name: SAMANTHA CRAGG, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

PECOS Registration: Yes

Address:
305 E JEFFERSON ST
BOISE, ID
ZIP 83712
Phone: (083) 815-1112
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Samantha Cragg, M.D. is a pediatric rehabilitation medicine physical medicine rehabilitation in Boise, ID with 13 years of experience. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Samantha Cragg, M.D. NPI is 1699071217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

305 E JEFFERSON ST
BOISE, ID
ZIP 83712-231
Phone: (083) 815-1112

The NPI 1699071217 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 1/28/2011 and was last updated on 7/20/2020.


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
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineM-14907IDAHOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.