NPI age
16 years
Enumerated 2010-01-06
● Active Type 2 · Organization
Coeur D'Alene Surgical And Vein
Coeur D'Alene Surgical And Vein is 1 of 36 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Managing Member
Last NPPES update
2013-03-20
Source: monthly bulk 2026-05
How this organization compares
Across 36 active clinic/center providers in Idaho.
NPI age
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
608 Northwest Blvd, Suite 301
Coeur D Alene, ID 838142174
Mailing address
608 Northwest Blvd, Suite 301
Coeur D Alene, ID 838142174
Authorized official
Kevin M Johnson, M.D.
Managing Member
📞 2086644940
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kevin Johnson, MD Surgery NPI 1679685598
- John Lundeby, MD Surgery NPI 1720190796
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Practice context
Multi-provider organization. 2 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.