P Praxis·MD
● Active Type 1 · Individual

DR. Beth Ann Martin, MD

Pediatrics·Coeur D Alene, ID· NPI 1336150267 · Enumerated 2006 · 19 years on NPI
Martin is 1 of 15 pediatrics providers in Coeur D Alene and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2006-08-09
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
PA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1090 W Park Pl
Coeur D Alene, ID 838142785
📞 2082152005
Mailing address
2571 S Evergreen Ln
Coeur D Alene, ID 838147551
📞 2086401392fax 2086252070

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086256446fax 2086255931
Location 3
1244 Cornerstone Blvd
Downingtown, PA 193353357
📞 6108735437 x4fax 4847135073

Specialties

  • Pediatrics Primary
    A 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...
    PA license #MD493108ID license #M7951 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (ID) 000010028237 REGENCE BLUE SHIELD
05 (ID) 805743100
01 (ID) J3961 BLUE CROSS OF IDAHO
05 (WA) 8267098
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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