North Idaho Family Physicians

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTH IDAHO FAMILY PHYSICIANS

Practice address

1401 Lincoln Way
Coeur D Alene, ID 83814-2334

Phone

(208) 664-5904

Fax

(208) 292-0797

NPI assigned

Nov 20, 2006

Organization subpart

No

Name

Eric Koelsch

Title

Executive Director

Phone

(208) 676-0145

Organizations this organization is a member of, according to the National Provider Directory.

• North Idaho Family Physicians, LLC

  • Family Medicine Physician
  • Coeur D Alene, ID
  • NPI 1225080799

  Member Of

  NPD member

Locations

• Bone Density of North Idaho Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2009.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1841364064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "SUITE 272E",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142334",
            "telephone_number": "208-664-5904",
            "fax_number": "208-292-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "KOELSCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-676-0145"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bone Density of North Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Idaho Day Surgery LLC
• North Idaho Day Surgery LLC
• North Idaho Dermatology, Inc.
• North Idaho Endoscopy and Surgical Specialists, PLLC
• North Idaho Eye Institute P a
• North Idaho Family Physicians, LLC
• North Idaho Hand Rehabilitation, PLLC
• North Idaho Home Health
• North Idaho Imaging Center
• North Idaho Lung, Asthma and Critical Care, LLC.

• All providers in Coeur D Alene, ID
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.