● Active Type 1 · Individual

Trace Heavener, D.O.

Gastroenterology (Internal Medicine)·Coeur D Alene, ID· NPI 1841646726 · Enumerated 2016 · 10 years on NPI

Heavener is 1 of 10 gastroenterology (internal medicine) providers in Coeur D Alene and 1 of 112 in Idaho.

NPI age

10 years

Enumerated 2016-05-10

Primary specialty

Gastroenterology (Internal Medicine)

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2025-05-06

Source: CMS NPPES provider record

Sole proprietor

May be part of a larger org

How this provider compares

Across 112 active gastroenterology (internal medicine) providers in Idaho.

NPI age

10 years

↓ 9 yr below median (19 yr)

State licenses

1 state

15% of peers hold multiple states

Subspecialties

19% of peers hold subspecialties

NPI lifetime · 2016 → 2025

2016-05Enumerated in NPPES

2016 2025

Where they practice

Practice location

1919 Lincoln Way Ste 415

Coeur D Alene, ID 838142527

📞 2086254595fax 2086254596

Mailing address

2003 Kootenai Health Way

Coeur D Alene, ID 838146051

📞 2086254595fax 2086254596

Specialties

Allopathic & Osteopathic Physicians › Internal Medicine

Internal Medicine Primary

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...

ID license #O-1809 taxonomy 207RG0100X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.

Medicare specialties

Gastroenterology

Medical school

Oklahoma State University College Of Osteopathic Medicine

Graduation year 2016

Largest Medicare group

394 members

Largest listed enrollment group

Facility affiliations reported by CMS

Kootenai Health Inc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 112 Gastroenterology (Internal Medicine) providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

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.