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

Theodore K Krisher, MD

Individual provider Pediatrics Physician · NPI 1396828158

Theodore K Krisher, MD is a Pediatric Medicine in Lewiston, Idaho. Graduated from Ohio State University College of Medicine in 1974, 52 years ago. Practices with Catalyst Medical Group PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
52
Trained at
Ohio State University College of Medicine
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2315 8th St
Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M3676 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence MD00040584 (WA)

Record details

NPI number1396828158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESMarch 8, 2016

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1974 (52 years in practice)
Group practice Catalyst Medical Group Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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