Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel E Cloetingh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982961215

Daniel E Cloetingh is a Pathology in Boise, Idaho. Graduated from Pennsylvania State University College of Medicine in 2012, 14 years ago. Practices with Boise Pathology Group PA, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Trained at
Pennsylvania State University College of Medicine
Licensed in
ID
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (484) 678-6367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence M-13713 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982961215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address109 Evergreen Dr, Downingtown, PA 19335-1012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Boise Pathology Group P.A. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boise