COEUR D'ALENE PEDIATRICS PA
NPI 1255496980
Pediatrics in Coeur D Alene, ID
NPI Status: Active since December 22, 2006
Contact Information
700 W IRONWOOD DR
SUITE 155
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-0585
Fax: (208) 667-0876
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 13D1096590
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-22-2026
About COEUR D'ALENE PEDIATRICS PA
This page provides the complete NPI Profile along with additional information for Coeur D'alene Pediatrics Pa, a pediatrician established in Coeur D Alene, Idaho operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1255496980 assigned on December 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Cari Warren (Office Administrator)
- NPI
- 1255496980
- Provider Name
- COEUR D'ALENE PEDIATRICS PA
- Entity Type
- Organization
- Location Address
- 700 W IRONWOOD DR SUITE 155 COEUR D ALENE, ID 83814
- Location Phone
- (208) 667-0585
- Location Fax
- (208) 667-0876
- Mailing Address
- 700 W IRONWOOD DR SUITE 155 COEUR D ALENE, ID 83814
- Mailing Phone
- (208) 667-0585
- Mailing Fax
- (208) 667-0876
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-22-2006
- Last Update Date
- 05-29-2025
- Code Navigator
A pediatrician like Coeur D'alene Pediatrics Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- ID
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002584600 | MEDICAID (05) | ID | |
| 002585300 | MEDICAID (05) | ID | |
| 7092836 | MEDICAID (05) | WA | |
| 8A976 | OTHER (01) | ID | BLUE CROSS OF IDAHO |
| 000010006210 | OTHER (01) | ID | REGENCE BLUE SHIELD |
| 81869 | OTHER (01) | ID | BLUE CROSS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1096590
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 09, 2009
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- ERIC GORANSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Coeur D'alene Pediatrics Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255496980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255496980, enumerated as an "organization" on December 22, 2006.
The provider is located at 700 W IRONWOOD DR SUITE 155 COEUR D ALENE, ID 83814 and the phone number is (208) 667-0585.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.
