SPOKANE FOOT AND ANKLE SURGERY CENTER (NPI# 1790876571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790876571 |
| Entity Type | Organization |
| Organization Name | SPOKANE FOOT AND ANKLE SURGERY CENTER |
| Other Organization Name | COEUR D ALENE FOOT AND ANKLE SURGERY CENTER |
| Practice Address |
101 W Ironwood Dr Ste 131 Coeur D Alene ID 83814-1404 |
| Practice Telephone | 2086660605 |
| Practice Fax Number | 2086660916 |
| Mailing Telephone | 2086660605 |
| Mailing Fax Number | 2086660916 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-12-10 |
| Authorized Official Name | DR. STEPHEN A ISHAM (PODIATRIST) |
| Authorized Official Telephone | 2086660605 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 00329760 | 05 |
| Other Name | Type Code |
|---|---|
| COEUR D ALENE FOOT AND ANKLE SURGERY CENTER | Doing Business As Name - Organization |
| Street Address |
101 W IRONWOOD DR STE 131 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977972 | Stephen A Isham | Podiatrist | 101 W Ironwood Dr, Ste 131, Coeur D Alene, ID 83814-1409 | 2005-07-28 |
| 1174816144 | Coeur D' Alene Foot & Ankle Clinic LLC | Podiatrist | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1409 | 2011-05-24 |
| 1821274259 | Orlando E. Nunez | Podiatrist | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1409 | 2008-01-16 |
| 1639267313 | Elite Eyecare PC | Optometrist | 101 W Ironwood Dr, Ste. 181, Coeur D Alene, ID 83814-1409 | 2006-10-10 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
| 1174816144 | Coeur D' Alene Foot & Ankle Clinic LLC | Podiatrist | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1409 | 2011-05-24 |
| 1821274259 | Orlando E. Nunez | Podiatrist | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1409 | 2008-01-16 |
| 1407047608 | Christopher R Butler Dpm P.C. | Podiatrist | 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2007-08-05 |
| 1659590677 | Christopher Butler | Podiatrist | 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1083261697 | Treasure Valley Foot and Ankle | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2019-08-20 |
| 1720590037 | Mountain View Foot and Ankle Specialists Inc | Podiatrist | 44 N 1st E, Preston, ID 83263-1326 | 2017-10-26 |
| 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 SPOKANE FOOT AND ANKLE SURGERY CENTER.
| 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.