Active NPI
Cody Reese, PA-C
- Medical Physician Assistant
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1443
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051 - Phone
- (208) 625-4000
- NPI assigned
- Feb 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1443 | ID | Primary |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500
Hospital & facility affiliations
- Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1443 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153
910 W 5th Ave
Ste 900
Spokane, WA 99204
Phone (509) 530-5838
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- creese493107@direct.multicare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Critical Access Hospital
- Republic, WA
- NPI 1508899816
-
- Rural Health Clinic/Center
- Republic, WA
- NPI 1184776916
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1285121442
-
- Family Medicine Physician
- Spokane, WA
- NPI 1386112977
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1235521279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "CODY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-27",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA1443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.