NPI age
16 years
Enumerated 2010-04-01
● Active
Type 1 · Individual
DR. Cory Glen Richardson, MD
Richardson is 1 of 19 surgery providers in Coeur D Alene and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
3
In the 37% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Practice location
3318 N Grandmill Ln
Coeur D Alene, ID 838145689
Mailing address
3318 N Grandmill Ln
Coeur D Alene, ID 838145689
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
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...
-
Internal MedicineA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to...
-
Internal MedicineAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
-
SurgeryTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1295050342 |
Practice context
Part of a multi-provider practice. 1 other active provider shares 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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