P Praxis·MD
● Active Type 1 · Individual

Thelmari Raubenheimer

Emergency Medicine·Boise, ID· NPI 1366191751 · Enumerated 2022 · 4 years on NPI
Raubenheimer is 1 of 109 emergency medicine providers in Boise and 1 of 336 in Idaho.
NPI age
4 years
Enumerated 2022-03-22
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
4 years
↓ 14 yr below median (18 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
1
In the 51% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812235fax 2083814556
Mailing address
190 E Bannock St
Boise, ID 837126241
fax 8436921122

Additional practice locations

1 secondary location on file with NPPES.

Location 2
809 82nd Pkwy
Myrtle Beach, SC 295724607
📞 8436923499fax 8436921122

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #1571451 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 671 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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