DR. BRIAN J O'GRADY (NPI# 1972578870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972578870 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J O'GRADY |
| Credential | MD |
| Practice Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Practice Telephone | 2086255059 |
| Practice Fax Number | 2086255731 |
| Mailing Telephone | 2086255059 |
| Mailing Fax Number | 2086255731 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M14355 | ID | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | J5428 | TX | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | MD60056621 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0244859 | 01 |
| TX | 1275570-04 | 05 | |
| WA | 8533796 | 05 |
| Street Address |
2003 KOOTENAI HEALTH WAY |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909151 | Pamela S Pomeroy | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2005-06-01 |
| 1104425149 | Denise White | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2020-10-21 |
| 1992343487 | Audrey Nordness | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-12-15 |
| 1881245017 | Jackie Rae Fitting | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-29 |
| 1336790567 | Shane Oliver Withers Jr. | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-29 |
| 1447800552 | Keith Mccullough | Physician Assistant | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-19 |
| 1568012102 | Kaitlin Wendt | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-16 |
| 1215586862 | Heather A Hamilton | Social Worker | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-06 |
| 1205498193 | Guy Hoenke | Registered Nurse | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-07-01 |
| 1407417843 | Maddison M Ray | Dietitian, Registered | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-06-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932373453 | Michael Raber | Neurological Surgery | 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4960 | 2008-04-15 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1558472910 | Jeffrey Dean Mcdonald | Neurological Surgery | 980 W Ironwood Drive, #206, Coeur D Alene, ID 83814 | 2006-08-31 |
| 1497788160 | William Francis Ganz | Neurological Surgery | 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2006-07-08 |
| 1235288655 | Kootenai Health | Neurological Surgery | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2007-01-09 |
| 1700974714 | Inland Northwest Spine and Neurosurgery Pllc | Neurological Surgery | 850 W Ironwood Dr, Suite 300, Coeur D Alene, ID 83814-4903 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245603505 | Scott Huneycutt Md Pllc | Neurological Surgery | 2240 E Center St Ste A, Pocatello, ID 83201-2600 | 2015-11-09 |
| 1992049696 | William Bradford Delong | Neurological Surgery | 222 Blue Ridge Ct, Orofino, ID 83544-9019 | 2012-11-19 |
| 1578743522 | Richard Lochhead | Neurological Surgery | 6140 W. Curtisian Ave, Ste 400, Boise, ID 83604-8907 | 2007-11-07 |
| 1962592022 | Robert Lee Cach | Neurological Surgery | 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404-8281 | 2006-10-12 |
| 1558457572 | Stephen R Marano | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-05 |
| 1962508366 | Bret A Dirks | Neurological Surgery | 850 W Ironwood Dr Suite 300, Coeur Dalene, ID 83814 | 2006-09-15 |
| 1134155666 | Brent H. Greenwald | Neurological Surgery | 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 | 2006-06-25 |
| 1780620765 | Donald S Soloniuk | Neurological Surgery | 324 5th St, Suite 101, Lewiston, ID 83501-2408 | 2006-06-20 |
| 1780679126 | Clark Hunter Allen | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2005-09-13 |
| 1588665434 | D Peter Reedy | Neurological Surgery | 999 N Curtis, #307, Boise, ID 83706-1333 | 2005-08-02 |
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| City | COEUR D ALENE |
| Zip Code | 83814 |
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| 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.