INLAND NORTHWEST SPINE PLLC
NPI 1700974714
Orthopaedic Surgery in Coeur D Alene, ID

Q: What is Inland Northwest Spine PLLC's NPI number?

The NPI number for Inland Northwest Spine PLLC is 1700974714. It was assigned to this organization in the NPPES registry on October 11, 2006.

Q: What is Inland Northwest Spine PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since October 11, 2006

850 W IRONWOOD DR, SUITE 300, COEUR D ALENE, ID 83814(208) 667-1376(208) 292-0873 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Inland Northwest Spine Pllc NPPES

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

INLAND NORTHWEST SPINE PLLC (NPI 1700974714) is a healthcare organization registered as an orthopaedic surgery in Coeur D Alene, Idaho and active in the NPI registry since October 2006. The organization lists Douglas Blaty, Owner, as its authorized official.

NPPES Registry Identity

NPI1700974714

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameINLAND NORTHWEST SPINE PLLC

Location Address850 W IRONWOOD DR, SUITE 300Coeur D Alene, ID 83814-4903

Mailing Address850 W Ironwood Dr, Suite 300Coeur D Alene, ID 83814-4903 · (208) 667-1376 · Fax (208) 292-0873

Phone(208) 667-1376

Fax(208) 292-0873

Organization SubpartNo

Authorized OfficialDouglas BlatyOwner · (208) 667-1376

Enumeration DateOctober 11, 2006

Last NPPES UpdateJune 1, 2022

NPPES CertifiedJune 1, 2022

✔ NPI 1700974714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedNeurological SurgeryTaxonomy 207T00000X · License M6482 (ID)

850 W IRONWOOD DR, Coeur D Alene, ID 83814

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Group Practice 2

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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inland Northwest Spine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Inland Northwest Spine PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Bret Dirks, MD

Neurosurgery

NPI 1962508366

850 W IRONWOOD DR SUITE 300
Coeur Dalene, ID 83814

(208) 667-1376