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NORTH IDAHO UROLOGY PLLC NPI 1891834768


NPI Information

NPI: 1891834768
Provider Name: NORTH IDAHO UROLOGY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 13D0522069

Address:
980 W IRONWOOD DR
STE. 104
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-0621
Get Directions

NORTH IDAHO UROLOGY, PLLC is an urology in Coeur D Alene, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NORTH IDAHO UROLOGY, PLLC NPI is 1891834768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

980 W IRONWOOD DR
STE. 104
COEUR D ALENE, ID
ZIP 83814-668
Phone: (208) 667-0621
Fax: (208) 664-1709

The provider's authorized official is Christine A Chatfield .
The authorized official title is Billing Supervisor and has the following contact phone number (208) 667-0621.

The CLIA number assigned to this NPI record is 13D0522069 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 6/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyM-3632IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144239MEDICARE ID-TYPE UNSPECIFIEDIDAHODR. EDWARD ELLISON
2002507200MEDICAIDIDAHO
31123697MEDICARE ID-TYPE UNSPECIFIEDIDAHODR. RANDIL CLARK
41111818MEDICARE ID-TYPE UNSPECIFIEDIDAHODR. CHARLES GATES
5002667200MEDICAIDIDAHO
61378100MEDICARE ID-TYPE UNSPECIFIEDIDAHONORTH IDAHO UROLOGY
7805898101MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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