P Praxis·MD
● Active Type 1 · Individual

Andrew Anthony Henneberg, MD

Obstetrics & Gynecology·Coeur D Alene, ID· NPI 1689603847 · Enumerated 2006 · 19 years on NPI
Henneberg is 1 of 14 obstetrics & gynecology providers in Coeur D Alene and 1 of 228 in Idaho.
NPI age
19 years
Enumerated 2006-07-01
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 228 active obstetrics & gynecology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
1
In the 42% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
980 W Ironwood Dr, Suite 201
Coeur D Alene, ID 83814
📞 2087654888fax 2086678618
Mailing address
980 W Ironwood Dr, Suite 201
Coeur D Alene, ID 83814
📞 2087654888fax 2086678618

Additional practice locations

1 secondary location on file with NPPES.

Location 2
980 W Ironwood Dr, Suite 304
Coeur D Alene, ID 83814
📞 2087654888fax 2086678618

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    ID license #M-9485 taxonomy 207V00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #M-9485 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (ID) 807438700

Practice context

Part of a multi-provider practice. 21 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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