DR. CORY GLEN RICHARDSON (NPI# 1295050342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295050342 |
| Entity Type | Individual |
| Full Name | DR. CORY GLEN RICHARDSON |
| Credential | MD |
| Practice Address |
750 N Syringa St Ste 205 Post Falls ID 83854-5275 |
| Practice Telephone | 2082620945 |
| Practice Fax Number | 2084250150 |
| Mailing Telephone | 2082620945 |
| Mailing Fax Number | 2084250150 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M-13357 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1295050342 | 05 | |
| WA | 2066176 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2003 Kootenai Health Way, Coeur D Alene, ID 838146051 | 2086254000 |
| Street Address |
750 N SYRINGA ST STE 205 |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-5275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708851 | Anastasia Marie Leifheit | Dietitian, Registered | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2005-08-26 |
| 1558868067 | Tara Ashley Dorosh | Physician Assistant | 750 N Syringa St Ste 205, Post Falls, ID 83854 | 2018-04-11 |
| 1710334248 | Mitchell Eric Blume | Physician Assistant | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2016-05-13 |
| 1093178394 | Laurie Nicole Mcbride | Dietitian, Registered | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2016-04-04 |
| 1427476225 | Derek Thomas Dirks | Surgery | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2014-03-31 |
| 1528193521 | Jennifer Lynn Ramsrud | Dietitian, Registered | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2007-02-22 |
| 1871606475 | Jonathan Lewis Saxe | Physician Assistant | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| 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 |
|---|---|---|---|---|
| 1235182213 | Antoine Y Sarkis | Surgery | 750 N Syringa St, Suite205, Post Falls, ID 83854-5275 | 2006-05-18 |
| 1427476225 | Derek Thomas Dirks | Surgery | 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 | 2014-03-31 |
| 1942459698 | Minimally Invasive Surgery Northwest Pa | Surgery | 750 N Syringa St, Suite 103, Post Falls, ID 83854-5275 | 2008-09-17 |
| 1033127659 | Surgical Bariatrics Northwest, Inc. P.a. | Surgery | 750 N Syringa St, Suite 205, Post Falls, ID 83854-5275 | 2006-08-03 |
| 1073569737 | John L Pennings | Surgery | 750 N Syringa St, Ste 205, Post Falls, ID 83854-5275 | 2006-05-25 |
| 1992758403 | Minimally Invasive Surgery Northwest, Inc | Surgery | 750 N Syringa St, Suite 205, Post Falls, ID 83854-5275 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340834 | Idaho Surgical, LLC | Surgery | 6195 E Hunt Ave, Nampa, ID 83687-8317 | 2019-05-03 |
| 1982178596 | Huntington Laparoscopy, PC | Surgery | 222 N 2nd St Ste 107, Boise, ID 83702-6129 | 2019-01-16 |
| 1508350331 | Matthew Jacobsson | Surgery | 2920 N High Desert Way, Meridian, ID 83646-9066 | 2018-06-15 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| 1326385410 | Robert Henry Morrell | Surgery | 2061 S Springbrook Ln, Boise, ID 83706 | 2013-01-09 |
| 1992040356 | Sandpoint Surgical Associates | Surgery | 502 N Second Ave, Suite 3, Sandpoint, ID 83864-1558 | 2012-12-11 |
| 1063774727 | Ciara Rosemary Huntington | Surgery | 222 North 2nd Street, Suite 107, Boise, ID 83702 | 2012-06-08 |
| 1093086589 | Robert Sumner West | Surgery | 3621 W Fairway Dr, Coeur D Alene, ID 83815-9049 | 2012-01-16 |
| 1790012383 | Brian E O'byrne, M.d. P.a. | Surgery | 2860 Channing Way Ste 117, Idaho Falls, ID 83404-7532 | 2009-11-03 |
| 1679716591 | Daniel Paul Gay | Surgery | 404 Elm Street, Caldwell, ID 83605 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on DR. CORY GLEN RICHARDSON.
| 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.