STEPHEN GENE PLOYHAR - NPI 1104750371 - Nurse Practitioner in Coeur D Alene, ID

Q: What is Stephen Ployhar's NPI number?

The NPI number for Stephen Ployhar is 1104750371. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Q: What is Stephen Ployhar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Ployhar was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stephen Gene Ployhar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN GENE PLOYHAR (NPI 1104750371) is an individual family provider in Coeur D Alene, Idaho, licensed in Idaho (2681314) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104750371

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHEN GENE PLOYHAR

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 625-2070

Phone(208) 415-0299

Sole ProprietorYes

Enumeration DateJune 11, 2026

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1104750371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 2681314

1090 W PARK PL, Coeur D Alene, ID 83814

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP