Ironwood Family Practice, PA
NPI 1083650931ActiveOrganization· Family Medicine· Coeur D Alene, ID
Family Medicine in Coeur D Alene, Idaho, registered in NPPES in June 2006. The authorized official on file is Nina Ruth Everson, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083650931 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2006 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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