NPI age
20 years
Enumerated 2005-10-19
● Active
Type 1 · Individual
Stephanie Rose Moline, M.D.
Moline is 1 of 1 surgery providers in Coeur D Alene and 1 of 3 in Idaho.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
WA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3 active surgery providers in Idaho.
NPI age
20 years
≈ at median (20 yr)
State licenses
2 states
Top 66% — 33% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
700 W Ironwood Dr Ste 130
Coeur D Alene, ID 838144404
Mailing address
Po Box 3868
Spokane, WA 992203868
Additional practice locations
1 secondary location on file with NPPES.
Location 2
601 S Sherman St
Spokane, WA 992021311
Specialties
-
Surgery PrimaryA surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 910000395 | RAILROAD MEDICARE |
| 05 (WA) | 8322315 | |
| 01 (WA) | 0164026 | LABOR & INDUSTRIES |
| 01 | 7744005 | AETNA |
| 05 (ID) | 806453700 | |
| 01 | 7631MO | ASURIS NW HEALTH |
| 01 | 000010140846 | BLUE SHIELD OF IDAHO |
| 01 | KS665 | BLUE CROSS OF IDAHO |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 6 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.