Ivan Petrich, DO

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 26, 2016

Quick Facts

NPI Number
1639527096
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2083A0100X — Specialty not listed
Phone
(208) 828-7900
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1639527096)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 26, 2016)
Data source: CMS NPPES

Provider Overview

IVAN PETRICH, DO is a Healthcare provider based in Mountain Home Afb, ID who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639527096
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateMay 26, 2016

Practice Location

CityMountain Home Afb
StateID
ZIP Code83648-1057
Phone(208) 828-7900

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2083A0100X
License StateID

Mailing Address

CityMountain Home Afb
StateID
ZIP Code83648-1057
Phone(208) 828-7900
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639527096 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639527096for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639527096 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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615
Specialty not listed Providers in the US

Similar Providers in Mountain Home Afb

Randall Moore, M.D., M.P.H., C.P.E

📍 Mountain Home Afb, ID 83648

Other Healthcare Providers in Mountain Home Afb

Ron Stumbo, RPH

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Kristine Hackett, WHNP

Nurse Practitioner

Jerrold Flyer, MD

General Surgery

Craig Folsom, D.D.S

Dentistry

Joseph Skinner, CRNA

Nurse Anesthetist

Nathan Anderson, O.D

Optometry

People Also Ask

What is Ivan Petrich's NPI number?
Ivan Petrich's NPI number is 1639527096, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ivan Petrich's NPI currently active?
Yes, Ivan Petrich's NPI status is Active as of the latest CMS NPPES database updates.
What does Ivan Petrich specialize in?
Ivan Petrich specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2083A0100X.
Where does Ivan Petrich practice?
Ivan Petrich practices in Mountain Home Afb, ID 83648-1057.
When was Ivan Petrich's NPI issued?
Ivan Petrich's NPI was issued on May 26, 2016.
What is Ivan Petrich's provider type?
Ivan Petrich is registered as an Individual Provider under CMS NPI Type 1.