Active NPI
Ronda Westcott, M.D.
- Pediatrics Physician
- Coeur D Alene, ID
National Provider Identifier
1730188210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M8495
- Practice address
- 980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604 - Phone
- (208) 292-5437
- Fax
- (208) 292-5441
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M8495 | ID | Primary |
Addresses
Primary practice location
980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604
Mailing address
980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604
Phone (208) 292-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806329600 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8495 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Pediatric & Adolescent Medicine, PLLC | Past | Accepting new patients |
Interoperability endpoints
- rwestcott627520@direct.multicare.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Coeur D'Alene, ID
- NPI 1003975087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1730188210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 W IRONWOOD DR",
"address_2": "STE 302",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142604",
"telephone_number": "208-292-5437",
"fax_number": "208-292-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W IRONWOOD DR",
"address_2": "STE 302",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142604",
"telephone_number": "208-292-5437",
"fax_number": "208-292-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTCOTT",
"first_name": "RONDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "M8495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806329600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 9, 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.