NPIMap

Organization Active NPI

Healing Arts Day Surgery LLC

  • Gastroenterology Physician
  • Nampa, ID
National Provider Identifier
1164515276
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M-5744 Issued in ID
Legal business name
HEALING ARTS DAY SURGERY LLC
Practice address
222 W Iowa Ave Ste B
Suite B
Nampa, ID 83686-6814
Phone
(208) 467-3432
Fax
(208) 467-4147
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Raquel Croitoru, M.D.NPI 1164525853
Title
Gastroenterologist
Phone
(208) 467-3432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X M-5744 ID Primary

Addresses

Primary practice location

222 W Iowa Ave Ste B
Suite B
Nampa, ID 83686-6814

Mailing address

222 W Iowa Ave Ste B
Suite B
Nampa, ID 83686-6814
Phone (208) 467-3432

Other identifiers 3

IdentifierTypeStateIssuer
805278000MedicaidID
000010004965OtherIDREGENCE BLUE SHIELD OF ID
0A453OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1164515276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W IOWA AVE STE B",
            "address_2": "SUITE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866814",
            "telephone_number": "208-467-3432",
            "fax_number": "208-467-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W IOWA AVE STE B",
            "address_2": "SUITE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866814",
            "telephone_number": "208-467-3432",
            "fax_number": "208-467-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ARTS DAY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "CROITORU",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "208-467-3432",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M-5744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805278000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010004965",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "0A453",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.