Ear, Nose & Throat of Coeur D'Alene, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EAR, NOSE & THROAT OF COEUR D'ALENE, PA

Practice address

700 W Ironwood Drive
Suite 236
Coeur D'Alene, ID 83814-4484

Phone

(208) 765-1345

Fax

(208) 667-9622

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shari Kane

Title

Office Manager

Phone

(208) 765-1345

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Ronald J Stout, MD

  • Otolaryngology Physician
  • Coeur D Alene, ID
  • NPI 1699771451
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427103753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DRIVE",
            "address_2": "SUITE 236",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144484",
            "telephone_number": "208-765-1345",
            "fax_number": "208-667-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DRIVE",
            "address_2": "SUITE 236",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144484",
            "telephone_number": "208-765-1345",
            "fax_number": "208-667-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT OF COEUR D'ALENE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-765-1345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "88799",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002705200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP #",
            "identifier": "000010006189",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baily C. Donovan, DPT
• Catherine Dotolo
• Susan L Dummer, NP
• Erin Duncan, LMSW
• Eagle Eye Vision Services
• Randi Leigh Edwards, MD
• J Roye Ely, N.P.
• Eye Pros Coeur D Alene LLC
• Eyemart Express LLC
• Richard Andrew Flygare, P.A.-C.

• Specialist in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.