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COEUR OBSTETRICS AND GYNECOLOGY, PLLC
NPI 1730280744
Specialist in Coeur D Alene, ID

Active since September 25, 2006CLIA 13D0699570 · Microscopy
980 W IRONWOOD DR STE 201, COEUR D ALENE, ID 83814(208) 765-4888 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2020, Jun 14, 2017 (2 updates tracked since 2017).

About Coeur Obstetrics And Gynecology, Pllc NPPES

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

COEUR OBSTETRICS AND GYNECOLOGY, PLLC (NPI 1730280744), doing business as D. Anthony & R. Randel Henneberg, Ptr's, is a healthcare organization registered as a specialist in Coeur D Alene, Idaho and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026, maintains a secondary practice location in Coeur D' Alene, and lists Andrew Anthony Henneberg, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1730280744
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOEUR OBSTETRICS AND GYNECOLOGY, PLLC
Location Address980 W IRONWOOD DR STE 201Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr., Suite 201Coeur D' Alene, ID 83814 · (208) 765-4888 · Fax (208) 667-8618
Phone(208) 765-4888
Organization SubpartNo
Authorized OfficialAndrew Anthony HennebergOwner/md · (208) 765-4888
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1730280744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M-9485
Definition
An 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.
980 W IRONWOOD DR STE 201, Coeur D Alene, ID 83814
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Other Names 1

Former Legal Business NameD. Anthony & R. Randel Henneberg, Ptr's

Secondary Practice Location 1

Location 1980 W IRONWOOD DR., SUITE 304COEUR D' ALENE, ID 83814 · Phone (208) 765-4888 · Fax (208) 667-8618

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

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0699570

Coeur Obstetrics And Gynecology PLLC · Coeur D'alene, ID
Active · expires Aug 31, 2026
CLIA Number13D0699570
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrew Henneberg
Laboratory Phone(208) 765-4888
Laboratory LocationCoeur Obstetrics And Gynecology PLLC980 W Ironwood Dr #201, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

JENNIFER ANNE FARWELL D.O.
Obstetrics & Gynecology
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
RACHEL MARIE DAVIS ARNP, CNM
Midwife
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
DR. DANA L COLBERT D.O.
Family Medicine
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 292-1315
SARAH FERGUSON KOHAL ARNP
Midwife
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
JESSICA BROWN ARNP
Nurse Practitioner (Women's Health)
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
SARA ASHLEY SIPES
Nurse Practitioner (Women's Health)
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 691-9964

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 Obstetrics And Gynecology, PLLC's NPI number?

The NPI number for Coeur Obstetrics And Gynecology, PLLC is 1730280744. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider was formerly known as D. Anthony & R. Randel Henneberg, Ptr's.

Where is Coeur Obstetrics And Gynecology, PLLC located?

Coeur Obstetrics And Gynecology, PLLC is located at 980 W Ironwood Dr Ste 201, Coeur D Alene, ID 83814. The listed phone number is (208) 765-4888.

What is Coeur Obstetrics And Gynecology, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Coeur Obstetrics And Gynecology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0699570) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coeur Obstetrics And Gynecology, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Coeur Obstetrics And Gynecology, 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 Obstetrics And Gynecology, PLLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.