KOOTENAI MEDICAL CENTER


Address: 2003 Lincoln Way, Coeur D Alene, ID 83814-2611
Phone: 2086662000

KOOTENAI MEDICAL CENTER (NPI# 1437326980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437326980
Entity Type Organization
Organization Name KOOTENAI MEDICAL CENTER
Other Organization Name GENERIC ONCOLOGY GROUP
Practice Address 2003 Lincoln Way
Coeur D Alene
ID 83814-2611
Practice Telephone 2086662000
Practice Fax Number 2086663963
Mailing Telephone 2086662000
Mailing Fax Number 2086663963
Enumeration Date 2008-05-14
Last Update Date 2008-05-14
Authorized Official Name MELANIE M. MICHELS (PATIENT ACCOUNT REPRESENTATIVE)
Authorized Official Telephone 2086662219
Is Organization Subpart Y
Parent Organization Name KOOTENAI MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
42 ID Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Generic Oncology Group Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598024978 Kootenai Medical Center General Acute Care Hospital 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2012-05-07
1578840054 Kootenai Medical Center Internal Medicine 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2011-11-10
1922385400 Kootenai Medical Center Internal Medicine 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2011-11-10
1780981902 Kootenai Medical Center Clinic/Center 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2011-02-24
1629249370 Kootenai Medical Center Physician Assistant 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2008-03-20
1205030293 Kootenai Medical Center General Acute Care Hospital 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-06-13

Office Location

Street Address 2003 LINCOLN WAY
City COEUR D ALENE
State ID
Zip Code 83814-2611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485161 Warren C Keene Emergency Medicine 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2005-08-23
1124352950 Sheila Schaal Dietitian, Registered 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2009-09-26
1710140157 Deborah E Schoonover Nurse Practitioner 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2008-07-07
1629249370 Kootenai Medical Center Physician Assistant 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2008-03-20
1174707020 Jenna Marie Sielaff Physician Assistant 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-12-27
1164619656 James P Osmanski II Do Internal Medicine 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-09-27
1750574315 Tarah L. Boerner Dietitian, Registered 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-08-27
1558567966 Julie Michelle Johnson Pharmacist 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-06-22
1205030293 Kootenai Medical Center General Acute Care Hospital 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-06-13
1942402698 Linda Sue Czirr Pharmacist 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 2007-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356607485 Paul S White Internal Medicine 700 W Ironwood Dr Ste 130, Coeur D Alene, ID 83814 2012-04-03
1720202724 Brian L Samuels Md Pllc Internal Medicine 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 2007-04-12
1699807743 Kootenai Health Internal Medicine 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2007-03-12
1689768848 Kevin T. Kim Internal Medicine 700 W Ironwood Dr, Suite 130, Coeur D Alene, ID 83814-2656 2006-10-03
1396776027 Brian Louis Samuels Internal Medicine 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2668 2006-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891857512 Nathan Bradley Adams Internal Medicine 2330 Desoto St, Idaho Falls, ID 83404-7570 2006-12-16
1669565669 A. Richard Miranda Internal Medicine 706 N College Rd, Suite A, Twin Falls, ID 83301-5824 2006-10-02
1528075744 Thomas J Leavitt Internal Medicine 284 Buck Run, Sagle, ID 83860 2006-08-01
1669497194 Dane J Dickson Internal Medicine 380 Walker Drive, Rexburg, ID 83440 2006-07-13
1588696538 Jonathan N Swerdloff Internal Medicine 308 E Hawaii Ave, Nampa, ID 83686-6013 2006-07-07
1508809252 Daniel E Williams Internal Medicine 1250 Idaho St, Lewiston, ID 83501-1965 2006-06-13
1871558239 Michael L Francisco Internal Medicine 651 Memorial Dr, Portneuf Cancer Center, Pocatello, ID 83201 2006-04-19
1669462362 Mountain View Hospital LLC Internal Medicine 2325 Coronado St, Idaho Falls, ID 83404-7407 2005-10-24
1952307605 David W. Ririe Internal Medicine 500 S 11th Ave Ste 100, Pocatello, ID 83201-4877 2005-06-27
1477020303 Maria Teresa Cervantes-fullmer Internal Medicine 3245 Channing Way, Idaho Falls, ID 83404-7536 2018-10-29
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Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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