Active NPI
Craig W. Wiesenhutter, MD
Doing business as Coeur d'Alene Arthritis Clinic
- Rheumatology Physician
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- M4720
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Rheumatology Physician
- Coeur d'Alene, ID
- NPI 1205980422
-
- Rheumatology Physician
- Coeur d'Alene, ID
- NPI 1861546004
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.