Spokane Foot and Ankle Surgery Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SPOKANE FOOT AND ANKLE SURGERY CENTER

Doing business as

COEUR D ALENE FOOT AND ANKLE SURGERY CENTER

Practice address

101 W Ironwood Dr
Ste 131
Coeur D Alene, ID 83814-1404

Phone

(208) 666-0605

Fax

(208) 666-0916

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Isham, DPM

Title

Podiatrist

Phone

(208) 666-0605

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COEUR D ALENE FOOT AND ANKLE SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Coeur Dalene Foot and Ankle Surgery CenterCCN 13C0001016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1790876571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W IRONWOOD DR",
            "address_2": "STE 131",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141404",
            "telephone_number": "208-666-0605",
            "fax_number": "208-666-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W IRONWOOD DR",
            "address_2": "STE 131",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141404",
            "telephone_number": "208-666-0605",
            "fax_number": "208-666-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE FOOT AND ANKLE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "ISHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "208-666-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329760",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COEUR D ALENE FOOT AND ANKLE SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer C Wirig, DMD, Inc
• Erika Spencer, RN
• Scott G Spencer, CRNA
• Thomas Floyd Spencer, PHARM D
• Alicia Jeannine Spiess, ARNP
• Spokane Home Healthcare Inc
• Spokane Radiation Oncology Associates P S
• Spokane Vamc
• Denise Spragg, CCC-SLP
• Wolfgang J.T. Spyra, MD

• Foot & Ankle Surgery Podiatrist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Foot & Ankle Surgery Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.