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Deactivated NPI 1093887291 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas G Cottrell , DO

Pediatrics • Rexburg, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Cottrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date April 28, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Cottrell, DO was a registered Pediatrics practicing in Rexburg, ID. Throughout an active medical career spanning 15 years, Dr. Cottrell provided care at the practice location at 36 PROFESSIONAL PLZ until profile deactivation on 2021-04-28.

Practice Location & Contact Primary Location

Practice Address

36 Professional Plz
Suite 202

Rexburg, ID 834402049

Telephone 2083560234
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Rexburg, ID (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ID O-0347

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1114076064

Doctor of Medicine (M.D.)

Janiel Green , PA-C

Physician Assistant - Medical

NPI 1114297660

Physician Assistant (Certified)

Dr. Steven Lofgran , MD

Internal Medicine

NPI 1154524734

Doctor of Medicine (M.D.)

Dr. Brian Beesley , MD

Family Medicine

NPI 1205129897

Doctor of Medicine (M.D.)

Kathleen Martin , CNM

Advanced Practice Midwife

NPI 1205909462

Certified Nurse Midwife

Gary Sena , PA-C

Physician Assistant

NPI 1285785782

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 28, 2021

Record deactivated on April 28, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 36 PROFESSIONAL PLZ, SUITE 202, REXBURG, ID 834402049 (Tel: 2083560234)

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Updated Business Mailing Address July 08, 2007

Registered at 36 PROFESSIONAL PLZ, SUITE 202, REXBURG, ID 834402049 (Tel: 2083560234)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS COTTRELL, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #O-0347 in ID)

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Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093887291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Deactivation Date: April 28, 2021

Mailing Address

36 Professional Plz, Suite 202

Rexburg, ID 834402049

Phone: 2083560234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.