P Praxis·MD
● Active Type 1 · Individual

DR. Charles Travis Criddle, D.O.

Pediatrics·Meridian, ID· NPI 1366646150 · Enumerated 2007 · 18 years on NPI
Criddle is 1 of 33 pediatrics providers in Meridian and 1 of 252 in Idaho.
NPI age
18 years
Enumerated 2007-06-13
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3277 E Louise Dr, Suite 200
Meridian, ID 836429351
📞 2084685930fax 2084633044
Mailing address
217 W Georgia Ave, Suite 115
Nampa, ID 836866811
📞 2084633234fax 2084633044

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #O-0532IL license #125-051457 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (ID) 8084089
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 16 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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