P Praxis·MD
● Active Type 1 · Individual

Theodore K Krisher, MD

Pediatrics·Lewiston, ID· NPI 1396828158 · Enumerated 2006 · 19 years on NPI
Krisher is 1 of 10 pediatrics providers in Lewiston and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2006-10-23
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-03-08
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
19 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 · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2315 8th St
Lewiston, ID 835017301
📞 2087461383fax 2087466348
Mailing address
2315 8th St
Lewiston, ID 835017301
📞 2087461383fax 2087466348

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 #M3676WA license #MD00040584 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (ID) 1396828158 REGENCE BLUESHIELD
05 (WA) 1089838
01 (WA) 0171659 WA LABOR & INDUSTRIES
01 (ID) DF508 BLUE CROSS
05 (ID) 1396828158
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 56 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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