NPI age
19 years
Enumerated 2006-09-25
● Active
Type 1 · Individual
John J Mytych, D.P.M.
Mytych is 1 of 10 podiatrist providers in Coeur D Alene and 1 of 67 in Idaho.
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
ID, UT, IL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 67 active podiatrist providers in Idaho.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
3 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
2120 W Ironwood Center Dr
Coeur D Alene, ID 838142639
Mailing address
280 S Main St
Bountiful, UT 840106236
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2159 S 700 E Ste 150
Salt Lake City, UT 841062279
Location 3
962 Chambers St
Ogden, UT 844035087
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (UT) | Q00214425 | RR MEDICARE |
| 01 (UT) | U00011270 | MEDICARE PTAN |
| 01 (UT) | 10140276-0501 | MEDICAL LICENSE |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 67 Podiatrist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.