DR. MARCUS JEWELL TORGENSON (NPI# 1194907592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194907592 |
| Entity Type | Individual |
| Full Name | DR. MARCUS JEWELL TORGENSON |
| Credential | M.D. |
| Practice Address |
700 W Ironwood Dr Ste 341 Coeur D Alene ID 83814-4404 |
| Mailing Address |
Po Box 1599 Coeur D Alene ID 83816-1599 |
| Practice Telephone | 2086255200 |
| Practice Fax Number | 2086255201 |
| Mailing Telephone | 2086255200 |
| Mailing Fax Number | 2086255201 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M-10728 | ID | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5761523-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010173473 | 01 |
| ID | BLUE CROSS | 77947 | 01 |
| ID | RAILROAD MEDICARE | P00766399 | 01 |
| ID | CIGNA MEDICARE | 1196087 | 01 |
| WA | WA L&I | 0251161 | 01 |
| Street Address |
700 W IRONWOOD DR STE 341 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706465 | Edward Gerard Detar | Surgery | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2005-11-14 |
| 1487168118 | Kami Bowcut | Physician Assistant | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2017-11-16 |
| 1881619849 | Timothy Quinn | Surgery | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2006-07-12 |
| 1083684203 | Michael Thomas May | Surgery | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086589 | Robert Sumner West | Surgery | 3621 W Fairway Dr, Coeur D Alene, ID 83815-9049 | 2012-01-16 |
| 1639352719 | Aaron J Chalmers | Surgery | 700 W Ironwood Dr Ste 641, Coeur D Alene, ID 83814-2656 | 2007-12-11 |
| 1629268255 | Kate A Kuhlman-wood | Surgery | 1875 N Lakewood Drive, Ste 200, Coeur D Alene, ID 83814 | 2007-07-30 |
| 1720190796 | John P Lundeby | Surgery | 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 | 2006-08-31 |
| 1194706465 | Edward Gerard Detar | Surgery | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2005-11-14 |
| 1205086089 | Kootenai Surgery Associates Pllc | Surgery | 700 W Ironwood Dr, Suite 304, Coeur D Alene, ID 83814-2656 | 2008-09-29 |
| 1942481452 | Heidi Holman Jackson | Surgery | 700 W Ironwood Dr, Suite 341, Coeur D Alene, ID 83814-2656 | 2007-11-27 |
| 1598964215 | Christopher Ward | Surgery | 700 W Ironwood Dr, 350, Coeur D Alene, ID 83814-2656 | 2007-07-12 |
| 1306900097 | Benjamin Mandel | Surgery | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-12-20 |
| 1679685598 | Kevin M Johnson | Surgery | 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 | 2006-08-31 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.