P Praxis·MD
● Active Type 1 · Individual

Daniel E Cloetingh

Pathology·Boise, ID· NPI 1982961215 · Enumerated 2012 · 14 years on NPI
Cloetingh is 1 of 2 pathology providers in Boise and 1 of 4 in Idaho.
NPI age
14 years
Enumerated 2012-04-11
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4 active pathology providers in Idaho.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 4846786367
Mailing address
109 Evergreen Dr
Downingtown, PA 193351012
📞 4846786367

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    ID license #M-13713 taxonomy 207ZP0101X
  • 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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