Melanie L Enderwick (NPI# 1891977278, PAC ID# 5991942039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1891977278 |
| PAC ID by PECOS | 5991942039 |
| Professional Enrollment ID | I20190525000084 |
| Full Name | Melanie L Enderwick |
| Organization Legal Name | KOOTENAI HEALTH |
| Address |
2120 W Ironwood Dr Coeur D Alene ID 83814 |
| Phone Number | 2086256939 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 4789641598 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2120 W Ironwood Dr, Coeur D Alene, ID 83814 | 2086256939 | KOOTENAI HEALTH |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 41% |
| Organization Legal Name | KOOTENAI HEALTH |
| Physicians | 232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathanael D Gay | Medical Oncology | Kootenai Health | 1440 E Mullan Ave, Post Falls, ID 83854-9064 |
| Amy D Echelberger | Internal Medicine | Kootenai Health | 1300 E Mullan Ave, Suite 1300, Post Falls, ID 83854-6057 |
| Bucklee Eller | Nurse Practitioner | Kootenai Health | 1296 E Polston Ave, Suite C, Post Falls, ID 83854-5217 |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Matthew G Taylor | Cardiac Electrophysiology | Kootenai Health | 122 W 7th Ave, Suite 310, Spokane, WA 99204-2352 |
| Justin P Garrett | Psychiatry | Kootenai Health | 2199 W Ironwood Ctr Dr, Coeur D Alene, ID 83814-2639 |
| Connor W Quinn | Orthopedic Surgery | Kootenai Health | 1110 W Park Pl, Suite 202, Coeur D Alene, ID 83814-2783 |
| Sarah M Jones | Physician Assistant | Kootenai Health | 700 W Ironwood Dr, Coeur D Alene, ID 83814-4400 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Ryan J Gilles | Family Medicine | Kootenai Health | 1919 Lincoln Way, Suite 315, Coeur D Alene, ID 83814-2527 |
| Street Address |
2120 W IRONWOOD DR |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Kevin M Johnson | General Surgery | Coeur D Alene Surgical and Vein | 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Michele M Bauer | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Bradley S Reed | Chiropractic | 1410 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2300 | |
| Thomas Lamphier | Physical Therapy | Lakewood Physical Therapy LLC | 1401 N Lincoln Way, Coeur D Alene, ID 83814-2334 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | COEUR D ALENE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Melanie L Enderwick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.