P Praxis·MD
● Active Type 2 · Organization

Coeur Obstetrics And Gynecology, Pllc

Specialist·Coeur D Alene, ID· NPI 1730280744 · Enumerated 2006 · 19 years on NPI
Coeur Obstetrics And Gynecology, Pllc is 1 of 305 specialist organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-25
Primary specialty
Specialist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Henneberg
Owner/md
Last NPPES update
2020-05-14
Source: monthly bulk 2026-05

How this organization compares

Across 305 active specialist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 838142668
📞 2087654888
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

Authorized official

Andrew Anthony Henneberg, MD
Owner/md
📞 2087654888

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    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

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • D. Anthony & R. Randel Henneberg, PTR's
    Type code 4 recorded 2020-05-14
  • D. Anthony & R. Randel Henneberg, PTR's
    Type code 4 recorded 2013-01-02

Practice context

Multi-provider organization. 6 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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