SUSAN MELCHIORE (NPI# 1588605620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588605620 |
| Entity Type | Individual |
| Full Name | SUSAN MELCHIORE |
| Credential | MD |
| Practice Address |
1919 Lincoln Way Ste 315 Coeur D Alene ID 83814 |
| Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Practice Telephone | 2086256000 |
| Practice Fax Number | 2086256001 |
| Mailing Telephone | 2086255059 |
| Mailing Fax Number | 2086255731 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M6934 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD CARRIER | P00450794 | 01 | |
| ID | 002789700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 296 W Sunset Ave Ste 14, Coeur D Alene, ID 838158367 | 2089674771 | |
| 296 W Sunset Ave Ste 15, Coeur D Alene, ID 838158366 | 2089674771 |
| Street Address |
1919 LINCOLN WAY STE 315 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245185 | Brooke Ellen Potratz | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-30 |
| 1952922999 | Justin Thompson | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-30 |
| 1992326938 | Elias Russell Shissler | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-30 |
| 1992326185 | Hanna Dotson | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-29 |
| 1023639150 | Carlee Kalbfleisch | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-29 |
| 1699396721 | Olivia Kastello | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2020-04-29 |
| 1235798067 | Mark Christian Walsworth | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2019-06-05 |
| 1811551583 | Cameron Mackay Jones | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2019-04-27 |
| 1144883570 | Marlee Irene Novak | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2019-04-22 |
| 1992268452 | Jennifer Schildmeyer | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2019-04-11 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740501238 | Magdelena Greene | Internal Medicine | 1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814-2527 | 2010-06-18 |
| 1265642607 | Andrea Nicole Dinning | Internal Medicine | 700 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814-4485 | 2007-05-23 |
| 1003838913 | Diana Johns | Internal Medicine | 2248 W Rosebud Ln, Coeur D Alene, ID 83814-7312 | 2006-07-23 |
| 1588617567 | James Pataky | Internal Medicine | 1701 Lincoln Way, Coeur D Alene, ID 83814-2537 | 2006-05-18 |
| 1164429643 | Michael A Patmas | Internal Medicine | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 | 2005-06-30 |
| 1770913428 | Brandon Greene | Internal Medicine | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2013-11-16 |
| 1811205297 | Rebecca Joy Bertsch | Internal Medicine | 1919 Lincoln Way, Ste 110, Coeur D Alene, ID 83814-2527 | 2010-09-19 |
| 1568658243 | Eric L Wallace | Internal Medicine | 700 W Ironwood Dr, 320, Coeur D Alene, ID 83814-2656 | 2007-09-17 |
| 1750414447 | Emily Lara Petersen | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2007-03-13 |
| 1699805994 | Associated Internal Medicine Pa | Internal Medicine | 2207 Ironwood Pl, Coeur D Alene, ID 83814 | 2007-03-06 |
| 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.