North Idaho Endoscopy and Surgical Specialists, PLLC
NPI 1104658152ActiveOrganization· Surgery· Coeur D Alene, ID
Surgery in Coeur D Alene, Idaho, registered in NPPES in August 2024. The authorized official on file is Cory Richardson, MD, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104658152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2024 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Internal Medicine, Bariatric Medicine | 207RB0002X | — | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — | — |
| Surgery, Trauma Surgery | 2086S0127X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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