Active NPI
Eddie Droge, MD
- Family Medicine Physician
- McCall, ID
National Provider Identifier
1689715864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2891
- Practice address
- 211 Forest St
McCall, ID 83638 - Phone
- (208) 634-2225
- Fax
- (208) 634-7212
- NPI assigned
- Feb 9, 2007
- Last updated
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2891 | ID | Primary |
Addresses
Primary practice location
211 Forest St
McCall, ID 83638
Mailing address
PO Box 1047
McCall, ID 83638-1047
Phone (208) 634-2225
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010001142 | Other | ID | BS SRMC |
| 000010001143 | Other | ID | BS PLMC |
| 28910 | Other | ID | BC PLMC |
| D7555 | Other | ID | BC SRMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2891 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payette Lakes Medical Clinic, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- McCall, ID
- NPI 1255462263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1689715864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1047",
"city": "MCCALL",
"state": "ID",
"postal_code": "836381047",
"telephone_number": "208-634-2225",
"fax_number": "208-634-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FOREST ST",
"city": "MCCALL",
"state": "ID",
"postal_code": "83638",
"telephone_number": "208-634-2225",
"fax_number": "208-634-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROGE",
"first_name": "EDDIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M2891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS SRMC",
"identifier": "000010001142",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS PLMC",
"identifier": "000010001143",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PLMC",
"identifier": "28910",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC SRMC",
"identifier": "D7555",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.