P Praxis·MD
● Active Type 1 · Individual

Christin S Reisenauer, MD

Radiology·Moscow, ID· NPI 1205802998 · Enumerated 2006 · 20 years on NPI
Reisenauer is 1 of 5 radiology providers in Moscow and 1 of 248 in Idaho.
NPI age
20 years
Enumerated 2006-02-23
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
405 Styner Ave
Moscow, ID 838439394
📞 2088828369fax 2088821887
Mailing address
Po Box 9583
Moscow, ID 838430177
📞 2088828369fax 2088821887

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M6554 taxonomy 2085R0202X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #M6554 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (ID) 003901200
05 (WA) 8235863

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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