Craig W. Wiesenhutter, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

M4720 Issued in ID

Legal business name

CRAIG W. WIESENHUTTER, MD

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

Organization subpart

No

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.

Title

Owner

Phone

(208) 765-5447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coeur d'Alene Arthritis Clinic Doing business as

Locations

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
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002074200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coeur d'Alene Arthritis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Cove, PT
• Terri G Cowgill, LPC
• Alora Ann Cox
• Christina Crabtree, M.D.
• Duane Eldon Craddock, MD
• Cameron Crandall
• Shelly Crane, AGNP-C
• Erika Crawford, DO
• Katherine M Crawford, LCSW
• Desiree Creekmore

• 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 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.