COEUR OBSTETRICS AND GYNECOLOGY, PLLC
NPI 1730280744
Specialist in Coeur D Alene, ID
NPI Status: Active since September 25, 2006
Contact Information
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-4888
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 13D0699570
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About COEUR OBSTETRICS AND GYNECOLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Coeur Obstetrics And Gynecology, Pllc, a provider established in Coeur D Alene, Idaho operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1730280744 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number M-9485 (ID). The provider is registered as an organization and their NPI record was last updated 6 years 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 provider's former legal business name is D. Anthony & R. Randel Henneberg, Ptr's. The authorized official of this NPI record is Dr. Andrew Anthony Henneberg Md (Owner/md)
- NPI
- 1730280744
- Provider Legal Name
- COEUR OBSTETRICS AND GYNECOLOGY, PLLC
- Other Organization Name
- D. ANTHONY & R. RANDEL HENNEBERG, PTR'S
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 980 W IRONWOOD DR STE 201 COEUR D ALENE, ID 83814
- Location Phone
- (208) 765-4888
- Mailing Address
- 980 W IRONWOOD DR. SUITE 201 COEUR D' ALENE, ID 83814
- Mailing Phone
- (208) 765-4888
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 05-14-2020
- Code Navigator
Location Map
Secondary Locations
- 980 W IRONWOOD DR. SUITE 304
COEUR D' ALENE, ID 83814
(208) 765-4888
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- M-9485
- License State
- ID
- Taxonomy Description
- 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.
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 13D0699570
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ANDREW HENNEBERG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coeur Obstetrics And Gynecology, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1730280744, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730280744, enumerated as an "organization" on September 25, 2006.
The provider is located at 980 W IRONWOOD DR STE 201 COEUR D ALENE, ID 83814 and the phone number is (208) 765-4888.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
