NPIMap

Organization Active NPI

Providence Health & Services

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Coeur D Alene, ID
National Provider Identifier
1689977159
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
PROVIDENCE HEALTH & SERVICES
Practice address
700 W Ironwood Dr
Suite 350
Coeur D Alene, ID 83814-2656
Phone
(208) 676-9913
Fax
(208) 666-0885
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Karen Duncan
Title
Sr Directory of Revenue Cycle Mngmt
Phone
(425) 254-5362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

700 W Ironwood Dr
Suite 350
Coeur D Alene, ID 83814-2656

Mailing address

PO Box 3776
Seattle, WA 98124-3776
Phone (425) 525-6715

Other names 1

  • Providence Spokane Heart Institute-Coeur D'Alene Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Health Services - Washington7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1689977159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3776",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243776",
            "telephone_number": "425-525-6715",
            "fax_number": "425-525-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "SUITE 350",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-676-9913",
            "fax_number": "208-666-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SR DIRECTORY OF REVENUE CYCLE MNGMT",
        "authorized_official_telephone_number": "425-254-5362"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Spokane Heart Institute-Coeur D'Alene",
            "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 Dec 6, 2010; 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.