NPI age
15 years
Enumerated 2011-03-14
● Active Type 2 · Organization
Infectious Disease Medicine Llc
Infectious Disease Medicine Llc is 1 of 32 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Souvenir
Owner/physician
Last NPPES update
2011-03-14
Source: monthly bulk 2026-05
How this organization compares
Across 32 active internal medicine providers in Idaho.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1875 N Lakewood Dr Ste 101
Coeur D Alene, ID 838144928
Mailing address
Po Box 3087
Hayden, ID 838353087
Authorized official
David Souvenir, MD
Owner/physician
📞 2087659092
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Montanna Clendening, LPC Counselor NPI 1225998677
- Beatrice Kenny, MASSAGE THERAPIST Massage Therapist NPI 1316340243
- Jerald Olsen, DPT Physical Therapist NPI 1215369764
- Diana Smith, MPT Physical Therapist NPI 1720199631
Specialties
-
Internal Medicine PrimaryAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients...
Practice context
Multi-provider organization. 4 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.