Idaho Center for Regenerative Medicine
NPI 1407273147 · Internal Medicine Physician · Eagle, ID
Idaho Center for Regenerative Medicine is a Internal Medicine Physician organization in Eagle, ID (NPI 1407273147).
Provider details
- NPI number
- 1407273147
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Haake, Physician(208) 995-2802
- License
- 207R00000X (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2016-03-17
Frequently asked questions
- What is Idaho Center for Regenerative Medicine's NPI number?
- Idaho Center for Regenerative Medicine's National Provider Identifier (NPI) is 1407273147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Center for Regenerative Medicine?
- Idaho Center for Regenerative Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Center for Regenerative Medicine located?
- Idaho Center for Regenerative Medicine's practice location on file with NPPES is 868 E Riverside Dr, Eagle, ID 83616-5412.
- What is Idaho Center for Regenerative Medicine's phone number?
- The practice phone number listed in the NPPES registry for Idaho Center for Regenerative Medicine is (208) 995-2802.
- Who is the authorized official for Idaho Center for Regenerative Medicine?
- The authorized official listed on Idaho Center for Regenerative Medicine's NPPES record is Robert Haake, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Center for Regenerative Medicine's NPI active?
- Yes — Idaho Center for Regenerative Medicine's NPI (1407273147) is active in the NPPES registry as of the last update on 2016-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.