NPI age
10 years
Enumerated 2016-05-20
● Active
Type 1 · Individual
Anthony Christopher Derrico, D.O.
Derrico is 1 of 32 emergency medicine providers in Coeur D Alene and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
WI, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
1
In the 51% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
190 E Bannock St
Boise, ID 837126241
Location 3
855 N Westhaven Dr
Oshkosh, WI 549047668
Location 4
366 Gunfighter Ave Ste 498
Mountain Home Afb, ID 836485258
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Emergency MedicineAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 100254122 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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- 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.