Stem Cell Centers of Idaho PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

STEM CELL CENTERS OF IDAHO PC

Practice address

1341 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-2471

Phone

(208) 771-7054

NPI assigned

Mar 13, 2014

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Autor

Title

Owner/President

Phone

(509) 808-0708

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1144646126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142651",
            "telephone_number": "208-215-3261",
            "fax_number": "208-966-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142471",
            "telephone_number": "208-771-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEM CELL CENTERS OF IDAHO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "AUTOR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-808-0708"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Alden Stebbins, CPSS
• Michelle Lee Steed, PHARM.D.
• Robert Timothy Steenbergen Jr., D.C
• Irwin H. Steiger, M.D.
• Kristin Stein
• Alison Stenson, CSFA
• Diana Stepanova, DDS
• Lonnie Stephens
• Tiffany Stephenson, PEER SUPPORT
• Steps to Healing PLLC

• Physical Medicine & Rehabilitation Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.