Organization Active NPI

Craig W. Wiesenhutter, MD

Doing business as Coeur d'Alene Arthritis Clinic

  • Rheumatology Physician
  • Coeur d'Alene, ID
National Provider Identifier
1487870796
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M4720 Issued in ID
Legal business name
CRAIG W. WIESENHUTTER, MD
Doing business as
Coeur d'Alene Arthritis Clinic
Practice address
950 W Ironwood Dr
Coeur D Alene, ID 83814-2644
Phone
(208) 765-5457
Fax
(208) 765-6248
NPI assigned
Apr 17, 2007
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Craig W Wiesenhutter, M.D.NPI 1205980422
Title
Owner
Phone
(208) 765-5447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X M4720 ID Primary

Addresses

Primary practice location

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

Mailing address

950 W Ironwood Dr
Coeur D Alene, ID 83814-2644
Phone (208) 765-5457

Other names 1

  • Coeur d'Alene Arthritis Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

950 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 765-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1487870796",
    "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": {
        "organization_name": "CRAIG W. WIESENHUTTER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "WIESENHUTTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-765-5447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M4720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coeur d'Alene Arthritis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2011; 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.