NPI age
19 years
Enumerated 2006-12-22
● Active Type 2 · Organization
Coeur D'Alene Pediatrics PA
Coeur D'Alene Pediatrics PA is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Warren
Office Administrator
Last NPPES update
2025-05-29
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
Mailing address
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
Authorized official
Cari Warren
Office Administrator
📞 2086670585
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
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002584600 | |
| 05 (ID) | 002585300 | |
| 05 (WA) | 7092836 | |
| 01 (ID) | 8A976 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010006210 | REGENCE BLUE SHIELD |
| 01 (ID) | 81869 | BLUE CROSS |
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 →
- 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.