Clinic 5C Wound Care

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CLINIC 5C WOUND CARE

Practice address

1875 N Lakewood Dr FL 3
Coeur D Alene, ID 83814-4928

Phone

(509) 343-0250

NPI assigned

Oct 27, 2025

Last updated

Oct 27, 2025By 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

Cameron Chesnut, MDNPI 1952636672

Title

Owner

Phone

(509) 343-0250

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cameron Chesnut, MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1952636672
  NPD Authorized official

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1770451254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR FL 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR FL 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928",
            "telephone_number": "509-343-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 5C WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-343-0250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montanna Clendening, LPC
• Clint P Clifford, DC
• Daryl Scott Cline, MSW, CDP
• Rhett Cline, DPT
• Clinic 5C Dermatology
• Stephanie Coates, LMSW
• Jacob Allen Cobb, LMSW
• John D Coburn, DMD
• Whitney Kay Cochran, LMSW
• Coeur D Alene Dental Center

• Physical Medicine & Rehabilitation Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.