Craig D Scoville, MD, PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

M5232 Issued in ID

Legal business name

CRAIG D SCOVILLE, MD, PC

Practice address

2220 E. 25TH Street
Idaho Falls, ID 83404

Phone

(208) 542-9080

Fax

(208) 542-9081

NPI assigned

May 7, 2009

Last updated

Nov 2, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig D Scoville, MDNPI 1194818997

Title

President

Phone

(208) 542-9080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig D Scoville, MD

  • Rheumatology Physician
  • Idaho Falls, ID
  • NPI 1194818997
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1124252952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E. 25TH STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-542-9080",
            "fax_number": "208-542-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E. 25TH STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-542-9080",
            "fax_number": "208-542-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D SCOVILLE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "SCOVILLE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-542-9080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M5232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Cowley, LMSW
• Amber Cox
• Augusta Kumba Cox, LMSW
• Debra Ann Cox, R.N.
• Sarah Dawn Cox, NP
• Craig Darrington DDS PLLC (Sandcreek Dental)
• Craig J Denny MD Prof Corp
• Craig J Denny MD Prof Corp (Craig Denny MD Psychiatry)
• Douglas E. Craig, PHD
• Tina Crain

• Rheumatology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Rheumatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.