Organization Active NPI

Robert J Lotstein

  • Specialist
  • Lewiston, ID
National Provider Identifier
1356506851
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M6559 Issued in ID
Legal business name
ROBERT J LOTSTEIN
Practice address
332 5TH St
Lewiston, ID 83501-2408
Phone
(208) 743-7955
Fax
(208) 743-7957
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Robert J Lotstein, M.D.NPI 1851337554
Title
Owner
Phone
(208) 743-7955

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
Specialist 174400000X M6559 ID Primary

Addresses

Primary practice location

332 5TH St
Lewiston, ID 83501-2408

Mailing address

332 5TH St
Lewiston, ID 83501-2408
Phone (208) 743-7955

Other identifiers 2

IdentifierTypeStateIssuer
003799200MedicaidID
1119023MedicaidWA

National Provider Directory

National Provider Directory

Locations

332 5th St
Lewiston, ID 83501
Phone (208) 743-7955

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1356506851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 5TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012408",
            "telephone_number": "208-743-7955",
            "fax_number": "208-743-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 5TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012408",
            "telephone_number": "208-743-7955",
            "fax_number": "208-743-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J LOTSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "LOTSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-743-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M6559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003799200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.