SPENCER D GREENDYKE (NPI# 1639165038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639165038 |
| Entity Type | Individual |
| Full Name | SPENCER D GREENDYKE |
| Credential | MD |
| Practice Address |
3318 N Grand Mill Ln Coeur D Alene ID 83814-5689 |
| Mailing Address |
3318 N Grand Mill Ln Coeur D Alene ID 83814 |
| Practice Telephone | 2082771060 |
| Practice Fax Number | 2082771065 |
| Mailing Telephone | 2082771060 |
| Mailing Fax Number | 2082771065 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-02-23 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M9110 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807145800 | 05 |
| Street Address |
3318 N GRAND MILL LN |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-5689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366908949 | Idaho Occupational Medicine Group LLC | Physical Medicine & Rehabilitation | 3318 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2019-02-19 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508168139 | Lyman Orthopedics Pllc | Orthopaedic Surgery | 1875 N Lakewood Dr, Suite 200, Coeur D Alene, ID 83814-4928 | 2010-12-02 |
| 1316945876 | Jeffrey Robert Rees Lyman | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2005-07-08 |
| 1497172431 | Christopher Bryce Arena | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2014-03-27 |
| 1639516594 | Action Orthopedics and Sports Medicine | Orthopaedic Surgery | 1110 W Park Pl, Suite 202, Coeur D Alene, ID 83814-2781 | 2013-05-31 |
| 1871728493 | Richard Lee Stowell | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814 | 2009-05-27 |
| 1922203215 | Connor William Quinn | Orthopaedic Surgery | 1110 W Park Pl, Suite 202, Coeur D Alene, ID 83814-2781 | 2007-06-18 |
| 1063635027 | Scott Andrew Brown | Orthopaedic Surgery | 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814-4903 | 2007-04-10 |
| 1073603692 | Lucas Aaron Anderson | Orthopaedic Surgery | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2006-10-13 |
| 1740390137 | Roger Charles Dunteman | Orthopaedic Surgery | 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814-4903 | 2006-08-30 |
| 1619080439 | Adam James Olscamp | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-08-16 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on SPENCER D GREENDYKE.
| 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.