NPI age
19 years
Enumerated 2007-01-18
● Active
Type 1 · Individual
Walter Raymond Fairfax, MD
Fairfax is 1 of 3 internal medicine providers in Coeur D Alene and 1 of 16 in Idaho.
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 16 active internal medicine providers in Idaho.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
68% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Internal Medicine PrimaryAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MT) | 000096870 | BCBS PIN |
| 01 (MT) | 0011135 | MDCD PIN |
| 01 (WY) | 105079600 | MDCD PIN |
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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