NPI age
17 years
Enumerated 2008-09-29
● Active Type 2 · Organization
Kootenai Surgery Associates Pllc
Kootenai Surgery Associates Pllc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Quinn
Partner
Last NPPES update
2008-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
700 W Ironwood Dr, Suite 304
Coeur D Alene, ID 838142656
Mailing address
700 W Ironwood Dr, Suite 304
Coeur D Alene, ID 838142656
Authorized official
Timothy T Quinn, MD
Partner
📞 2086671588
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Taffie Bowman, RN, BSN, MSN, ARNP Nurse Practitioner NPI 1821238825
- Kellie Breaux, FNP-MSN Nurse Practitioner NPI 1861939910
- Howard Brinton, M.D. Family Medicine NPI 1912959131
- Jamie Cervi-Skinner, PHARMD Pharmacist NPI 1679004675
- John Coburn, DMD Dentist NPI 1568654150
- Dennis Cooke, MD Internal Medicine NPI 1285680488
- Duane Craddock, MD Pediatrics NPI 1609886514
- Michael Dixon, M.D. Family Medicine NPI 1205832953
- Donald Engles, M.D. Internal Medicine NPI 1306163134
- Robert Farr, M.D. Otolaryngology NPI 1033116322
- Gretchen Foley, PA-C Physician Assistant NPI 1437553187
- Ronald Fritz, DO Internal Medicine NPI 1801842232
- Jon Griffith, MD Radiology NPI 1356333959
- Leonard Guth, M.D. Family Medicine NPI 1689626921
- Carl Hanson, MD Internal Medicine NPI 1831145069
- Keith Hewel, MD Radiology NPI 1316948409
- Carissa Hober, PHARMD Pharmacist NPI 1982144424
- Robert Holman, MD Surgery NPI 1952333197
- Timothy Labrosse, D.D.S. Dentist NPI 1497784508
- Carl Ley, MD Radiology NPI 1659373546
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.