Craig W Wiesenhutter, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

M4720 Issued in ID

Practice address

950 W Ironwood Dr
Coeur D Alene, ID 83814-2644

Phone

(208) 765-5457

Fax

(208) 765-6248

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Rheumatology

Education

Albert Einstein College of Medicine of Yeshiva University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda M Sakai, MD

  • Rheumatology Physician
  • Coeur D Alene, ID
  • NPI 1861546004
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bonner General Hospital Inc.

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1205980422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142644",
            "telephone_number": "208-765-5457",
            "fax_number": "208-765-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142644",
            "telephone_number": "208-765-5457",
            "fax_number": "208-765-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENHUTTER",
        "first_name": "CRAIG",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M4720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010005797",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002074200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "47209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Louise Whitman, LMP
• Shaun Michael Whitney, D.D.S.
• Kathleen Widmyer, RPH
• Lynn Wierdsma, PSY.D.
• Richard Lee Wiesemann II
• Olivia Wika, PA
• Wild Oak Wellness PC
• Wildflower Lactation Support, PLLC
• Ellyn K Wilhelm, LPC
• Brynn Elizabeth Wilkin

• Rheumatology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Rheumatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.