KURT E KRACAW (NPI# 1285723460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285723460 |
| Entity Type | Individual |
| Full Name | KURT E KRACAW |
| Credential | MD |
| Practice Address |
910 Nw 16th St Ste 101 Fruitland ID 83619 |
| Mailing Address |
3340 E Goldstone Dr Meridian ID 83642 |
| Practice Telephone | 2084528000 |
| Practice Fax Number | 2084528055 |
| Mailing Telephone | 2084528000 |
| Mailing Fax Number | 2084528055 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M13115 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
910 NW 16TH ST STE 101 |
| City | FRUITLAND |
| State | ID |
| Zip Code | 83619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418722 | Jeanette Hazel Marie Reiners | Nurse Practitioner | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2019-10-09 |
| 1013493576 | Katlin Nicole Burchard | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2018-07-17 |
| 1447782529 | Kourtney Holder | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2017-03-29 |
| 1215479019 | Samantha Paterson | Physician Assistant | 910 Nw 16th St, Suite 205, Fruitland, ID 83619-2265 | 2016-11-09 |
| 1720438864 | Ashley Marshall | Physical Therapist | 910 Nw 16th St, Suite 200, Fruitland, ID 83619-2265 | 2016-06-20 |
| 1396106928 | Jordan Elise Finnegan | Physician Assistant | 910 Nw 16th St, Ste 101, Fruitland, ID 83619-2265 | 2016-03-09 |
| 1417326968 | Riverside Orthopedic Clinic | Orthopaedic Surgery | 910 Nw 16th St, #205, Fruitland, ID 83619-2265 | 2015-09-15 |
| 1336535178 | Lisa Marie Tovar | Social Worker | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2015-04-08 |
| 1760823397 | Saint Alphonsus Medical Center-ontario, Inc | Clinic/Center | 910 Nw 16th St, Ste 101, Fruitland, ID 83619-2265 | 2013-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1154563948 | Becky Jean Wolery | Social Worker | 910 Nw 16th St Ste 101, Fruitland, ID 83619 | 2009-03-25 |
| 1740426196 | John Wesley Linhart | Physical Therapist | 1116 Nw 16th Street, Fruitland, ID 83619 | 2009-01-06 |
| 1528263670 | Snake River Dermatology, Pa | Dermatology | 1611 N Whitley Dr, #7, Fruitland, ID 83619 | 2007-06-19 |
| 1568591204 | John Linton Close | Registered Nurse | 1509 N Whitley Drive, Suite 5, Fruitland, ID 83619 | 2007-03-05 |
| 1629110671 | Payette School Dist #373 | Local Education Agency (LEA) | 303 Sw 3rd Street, Fruitland, ID 83619 | 2007-02-13 |
| 1912075839 | William Frederick Martsch | Dentist | 315 N. Whitley, Fruitland, ID 83619 | 2006-11-30 |
| 1992880132 | Ryan David Hillam | Dentist | 1820 N.whitley Drive, Fruitland, ID 83619 | 2006-10-26 |
| Find all providers in zip 83619 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689053118 | Billy Galligar | Family Medicine | 1100 Nw 12th St, Fruitland, ID 83619-5040 | 2015-05-29 |
| 1477598258 | Lawrence J Sladich | Family Medicine | 910 Nw 16th, Fruitland, ID 83619 | 2006-06-17 |
| 1730180092 | Nani Jane Cabrera | Family Medicine | 1107 Nw 11th St, Fruitland, ID 83619-2255 | 2005-08-09 |
| 1780078857 | Caleb Patee | Family Medicine | 910 Nw 16th, Suite 101, Fruitland, ID 83619 | 2015-03-26 |
| 1881739076 | Michael Joseph Hoilien | Family Medicine | 910 Nw 16th Street, Ste 101, Fruitland, ID 83619 | 2007-02-21 |
| 1750372579 | Dominican Health Services | Family Medicine | 1118 Nw 16th St, Fruitland, ID 83619-2271 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KURT E KRACAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.