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NPI Code Detail

MEDICARE: DR. JOHN T. ADER DO-RHEUMATOLOGY

MEDICARE:  DR. JOHN T. ADER  DO-RHEUMATOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician3103WI
2207RR0500XRheumatology PhysicianO-0634ID
3207RR0500XRheumatology Physician34C.000617OH
4207R00000XInternal Medicine PhysicianM9114TX
5207RR0500XRheumatology PhysicianM9114TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992789564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN T. ADER DO-RHEUMATOLOGY
Provider Business Mailing Address
First Line : 5178 N MORNINGGALE WAY
Second Line :
City : BOISE
State : ID
Zip : 83713-1453
Country : US
Telephone Number : 833-767-4386
Fax Number : 833-874-0554
Provider Business Practice Location Address
First Line : 784 S CLEARWATER LOOP STE B
Second Line :
City : POST FALLS
State : ID
Zip : 83854-9599
Country : US
Telephone Number : 833-767-4386
Fax Number : 833-874-0554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 01/09/2026

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Directions to “ DR. JOHN T. ADER DO-RHEUMATOLOGY” Practice Location

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