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IDAHO CENTER FOR REGENERATIVE MEDICINE
NPI 1407273147
Internal Medicine in Eagle, ID

Active since March 19, 2014
868 E RIVERSIDE DR, SUITE 170, EAGLE, ID 83616(208) 995-2802(208) 995-2804 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Center For Regenerative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO CENTER FOR REGENERATIVE MEDICINE (NPI 1407273147) is a healthcare organization registered as an internal medicine in Eagle, Idaho and active in the NPI registry since March 2014. The organization lists Robert J Haake, Physician, as its authorized official.

NPPES Registry Identity

NPI1407273147
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIDAHO CENTER FOR REGENERATIVE MEDICINE
Location Address868 E RIVERSIDE DR, SUITE 170Eagle, ID 83616-5412
Mailing Address868 E Riverside Dr, Suite 170Eagle, ID 83616-5412 · (208) 995-2802 · Fax (208) 995-2804
Phone(208) 995-2802
Fax(208) 995-2804
Organization SubpartNo
Authorized OfficialRobert J HaakePhysician · (208) 995-2802
Enumeration DateMarch 19, 2014
Last NPPES UpdateMarch 17, 2016
✔ NPI 1407273147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · 207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
868 E RIVERSIDE DR, Eagle, ID 83616
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY L. FLINT M.D., P.C.
Clinic/Center
868 E RIVERSIDE DR, SUITE 200
EAGLE, ID 83616
Ada County (208) 367-2864
TODD R WOODWARD PA-C
Physician Assistant (Medical)
868 E RIVERSIDE DR, STE 170
EAGLE, ID 83616
Ada County (208) 995-2802
DR. GREGORY LYNN FLINT M.D.
Dermatology
868 E RIVERSIDE DR, SUITE 200
EAGLE, ID 83616
Ada County (208) 367-2864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Center For Regenerative Medicine's NPI number?

The NPI number for Idaho Center For Regenerative Medicine is 1407273147. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Idaho Center For Regenerative Medicine located?

Idaho Center For Regenerative Medicine is located at 868 E Riverside Dr Suite 170, Eagle, ID 83616. The listed phone number is (208) 995-2802.

What is Idaho Center For Regenerative Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Idaho Center For Regenerative Medicine was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.