NPI age
19 years
Enumerated 2006-10-14
● Active Type 2 · Organization
Coeur D'Alene Surgery Center Inc
Coeur D'Alene Surgery Center Inc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Corbin
Business Office Manager
Last NPPES update
2012-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2121 W Ironwood Center Dr
Coeur D Alene, ID 838142639
Mailing address
2121 W Ironwood Center Dr
Coeur D Alene, ID 838142639
Authorized official
Marlis Corbin
Business Office Manager
📞 2087653288
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Nicole Bilyeu Physician Assistant NPI 1386322527
- James Dutkiewicz, PA Physician Assistant NPI 1114992179
- Shannon Jahns, CSFA Specialist/Technologist, Other NPI 1841430063
- Peter Jones, M.D. Plastic Surgery NPI 1083704332
- Patrick Mullen, M.D. Orthopaedic Surgery NPI 1629069885
- Morgan Shannon, NP Orthopaedic Surgery NPI 1134954670
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 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.