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COEUR D ALENE PLASTIC SURGERY PLLC
NPI 1124568829
Plastic Surgery - Surgery of the Hand in Coeur D Alene, ID

Active since February 28, 2017CLIA 13D2338008 · Waiver
1875 N LAKEWOOD DR, SUITE 103, COEUR D ALENE, ID 83814(208) 758-0486 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2017, Feb 28, 2017 (2 updates tracked since 2017).

About Coeur D Alene Plastic Surgery Pllc NPPES

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

COEUR D ALENE PLASTIC SURGERY PLLC (NPI 1124568829) is a healthcare organization registered as a surgery of the hand in Coeur D Alene, Idaho and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Kate Kuhlman-wood, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1124568829
Entity TypeOrganization
Primary Taxonomy2082S0105X
Legal Business NameCOEUR D ALENE PLASTIC SURGERY PLLC
Location Address1875 N LAKEWOOD DR, SUITE 103Coeur D Alene, ID 83814-4928
Mailing Address1875 N Lakewood Dr, Suite 200Coeur D Alene, ID 83814-4928 · (208) 758-0486
Phone(208) 758-0486
Organization SubpartNo
Authorized OfficialKate Kuhlman-woodOwner/md · (208) 758-0486
Enumeration DateFebruary 28, 2017
Last NPPES UpdateJune 9, 20172 updates tracked since enumeration
✔ NPI 1124568829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
1875 N LAKEWOOD DR, Coeur D Alene, ID 83814
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2338008

Coeur D'alene Plastic Surgery, PLLC · Coeur D'alene, ID
Active · expires Feb 2, 2028
CLIA Number13D2338008
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorKate A. Kuhlman-Wood
Laboratory Phone(208) 758-0486
Laboratory LocationCoeur D'alene Plastic Surgery, PLLC1950 W Bellerive Ln Ste 110, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN M ETTNER LCSW-45249
Social Worker (Clinical)
1875 N LAKEWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 771-7284
LYMAN ORTHOPEDICS PLLC
Orthopaedic Surgery
1875 N LAKEWOOD DR, SUITE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 758-0716
CIERRA HEAVEN SOVENSKI LMSW
Social Worker
1875 N LAKEWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 771-7284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coeur D Alene Plastic Surgery PLLC's NPI number?

The NPI number for Coeur D Alene Plastic Surgery PLLC is 1124568829. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is Coeur D Alene Plastic Surgery PLLC located?

Coeur D Alene Plastic Surgery PLLC is located at 1875 N Lakewood Dr Suite 103, Coeur D Alene, ID 83814. The listed phone number is (208) 758-0486.

What is Coeur D Alene Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Does Coeur D Alene Plastic Surgery PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2338008) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coeur D Alene Plastic Surgery PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Coeur D Alene Plastic Surgery PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coeur D Alene Plastic Surgery PLLC was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.