Spencer D Greendyke MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

M9110 Issued in ID

Legal business name

SPENCER D GREENDYKE MD LLC

Doing business as

RiversEdge Orthopedics

Practice address

3318 N Grand Mill LN
Coeur D'Alene, ID 83814

Phone

(208) 277-1060

Fax

(208) 277-1065

NPI assigned

Sep 20, 2006

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spencer D Greendyke, MDNPI 1639165038

Title

Physician

Phone

(208) 277-1060

Specialties & licenses 1

Addresses

Other names 1

• RiversEdge Orthopedics Doing business as

Locations

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.

• Spencer D Greendyke, MD

  • Orthopaedic Surgery Physician
  • Coeur d'Alene, ID
  • NPI 1639165038
  Authorized official Same address or phone
• Paul Clint Jones, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
  • NPI 1174519359
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1558468439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 N GRAND MILL LN",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-277-1060",
            "fax_number": "208-277-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N GRAND MILL LN",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-277-1060",
            "fax_number": "208-277-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER D GREENDYKE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "GREENDYKE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-277-1060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "M9110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiversEdge Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Hill Suboxone
• Tanner Souza, DO
• Cierra Heaven Sovenski, LMSW
• Marcus Stephen Sowder
• Spencer C Wirig, DMD, Inc (Lakeview Dental Clinic)
• Erika Spencer, RN
• Scott G Spencer, CRNA
• Thomas Floyd Spencer, PHARM D
• Alicia Jeannine Spiess, ARNP
• Spokane Foot and Ankle Surgery Center (Coeur D Alene Foot and Ankle Surgery Center)

• Medical Specialty Clinic/Center in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.