ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
NPI 1952355539
Specialist in Post Falls, ID

Active since May 19, 2006CLIA Certified · 2 labs
849 N SYRINGA ST, POST FALLS, ID 83854(208) 777-1320(208) 777-1322 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2024, Jun 22, 2023, Sep 3, 2020 and 1 more (4 updates tracked since 2019).

About St Josephs Ear Nose And Throat Clinic Pllc NPPES

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

ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC (NPI 1952355539) is a healthcare organization registered as a specialist in Post Falls, Idaho and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Coeur D Alene, and lists Thomas R Detar, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1952355539
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
Location Address849 N SYRINGA STPost Falls, ID 83854-8794
Mailing Address849 N Syringa StPost Falls, ID 83854-8794 · (208) 777-1320 · Fax (208) 777-1322
Fax(208) 777-1322
Organization SubpartNo
Authorized OfficialThomas R DetarOwner/member · (208) 777-1320
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1952355539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.

849 N SYRINGA ST, Post Falls, ID 83854

Secondary Practice Location 1

Location 12288 N Merritt Creek Loop Ste 100Coeur D Alene, ID 83814-4992 · Phone (208) 215-2284 · Fax (208) 215-2283

Other Identifiers 6

Other151513ID · Washington L&i
Other0000100006619ID · Regence/asuris
Medicaid7087273ID
Other8938054ID · Wa L&i Crime Victims
Medicaid805084300ID
Other8M012ID · Blue Cross Of Idaho

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 13D2143829

St Joseph's Ear Nose Throat & Allergy Clinic · Post Falls, ID
Active · expires Feb 5, 2028
CLIA Number13D2143829
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorChad D. Mccormick
Laboratory Phone(208) 777-1320
Laboratory LocationSt Joseph's Ear Nose Throat & Allergy Clinic849 N Syringa St, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2173910

St Joseph's Ear Nose Throat & Allergy Clinic · Coeur D'alene, ID
Active · expires Oct 21, 2027
CLIA Number13D2173910
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorChad D. Mccormick
Laboratory Phone(208) 215-2284
Laboratory LocationSt Joseph's Ear Nose Throat & Allergy Clinic2288 N Merritt Creek Loop Ste 100, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952355539, enumerated as an "organization" on May 19, 2006.

The provider is located at 849 N SYRINGA ST POST FALLS, ID 83854 and the phone number is (208) 777-1320.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.