DR. DUANE MATTHEW SIERCKE (NPI# 1497961676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497961676 |
| Entity Type | Individual |
| Full Name | DR. DUANE MATTHEW SIERCKE |
| Credential | PHARM.D. |
| Practice Address |
2003 Lincoln Way Coeur D Alene ID 83814-2611 |
| Mailing Address |
7190 W Eagle Ridge Rd Coeur D Alene ID 83814-1363 |
| Practice Telephone | 2086663037 |
| Mailing Telephone | 2086661825 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P5616 | ID | Pharmacy Service Providers |
| Street Address |
2003 LINCOLN WAY |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485161 | Warren C Keene | Emergency Medicine | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2005-08-23 |
| 1124352950 | Sheila Schaal | Dietitian, Registered | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2009-09-26 |
| 1710140157 | Deborah E Schoonover | Nurse Practitioner | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2008-07-07 |
| 1437326980 | Kootenai Medical Center | Internal Medicine | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2008-05-14 |
| 1629249370 | Kootenai Medical Center | Physician Assistant | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2008-03-20 |
| 1174707020 | Jenna Marie Sielaff | Physician Assistant | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-12-27 |
| 1164619656 | James P Osmanski II Do | Internal Medicine | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-09-27 |
| 1750574315 | Tarah L. Boerner | Dietitian, Registered | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-08-27 |
| 1558567966 | Julie Michelle Johnson | Pharmacist | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-06-22 |
| 1205030293 | Kootenai Medical Center | General Acute Care Hospital | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-06-13 |
| Find all providers in the same location | ||||
| 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 | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952513046 | Michelle Lee Steed | Pharmacist | 1106 W Ironwood Dr, Coeur D Alene, ID 83814-2480 | 2007-05-03 |
| 1538375712 | Russell David Symbal | Pharmacist | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-05-15 |
| 1508072612 | Gianna B Donnelly | Pharmacist | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-05-15 |
| 1871708685 | Amber Olivia Norbeck | Pharmacist | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-05-14 |
| 1760697619 | John L Woon | Pharmacist | 2003 Lincoln Way, Pharmacy Services, Coeur D Alene, ID 83814-2611 | 2007-05-14 |
| 1447465752 | Denis Russell Yost | Pharmacist | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-05-11 |
| 1356331722 | Michael L Brandt | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679817811 | Robert Wills | Pharmacist | 1001 W Resseguie St, Boise, ID 83702-4106 | 2012-11-10 |
| 1154535664 | Camille Marie Nulph | Pharmacist | 4240 Yellowstone Avenue, Walmart Pharmacy, Chubbuck, ID 83202 | 2007-05-10 |
| 1801018718 | Cara Ann Liday | Pharmacist | Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 | 2007-05-02 |
| 1306875794 | Jim Allen | Pharmacist | 5658 E Maple Creek Rd, Franklin, ID 83237-5102 | 2006-06-30 |
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 1265424105 | Rex W Force | Pharmacist | Isu Box 8357, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-08-17 |
| 1578555603 | Nicole Murdock | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2005-08-16 |
| 1235131004 | Paul S Cady | Pharmacist | 13 Temple Ave, Pocatello, ID 83201-3427 | 2005-08-11 |
| 1265434047 | Joseph F. Steiner | Pharmacist | Idaho State University College of Pharmacy, Campus Box 8288, Pocatello, ID 83209-0001 | 2005-08-11 |
| 1609871474 | Wade H Flowers Jr. | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on DR. DUANE MATTHEW SIERCKE.
| 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.