NPI age
20 years
Enumerated 2006-05-19
● Active Type 2 · Organization
St Josephs Ear Nose And Throat Clinic Pllc
St Josephs Ear Nose And Throat Clinic Pllc is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Detar
Owner/member
Last NPPES update
2024-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
20 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
849 N Syringa St
Post Falls, ID 838548794
Mailing address
849 N Syringa St
Post Falls, ID 838548794
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2288 N Merritt Creek Loop Ste 100
Coeur D Alene, ID 838144992
Authorized official
Thomas R Detar, M.D., F.A.C.S.
Owner/member
📞 2087771320
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Mallory Bruner Audiologist NPI 1134794282
- Logan Dempsey Audiologist NPI 1396530515
- Thomas Detar, M.D., F.A.C.S. Otolaryngology NPI 1548265028
- Philip Gardner, MD Otolaryngology NPI 1265827356
- Michael Gilbert, M.D. Otolaryngology NPI 1972508463
- Chad McCormick, MD Otolaryngology NPI 1538165139
- Marisa Ryan Audiologist NPI 1700451861
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 151513 | WASHINGTON L&I |
| 01 (ID) | 0000100006619 | REGENCE/ASURIS |
| 05 (ID) | 7087273 | |
| 01 (ID) | 8938054 | WA L&I CRIME VICTIMS |
| 05 (ID) | 805084300 | |
| 01 (ID) | 8M012 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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