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Coeur Obstetrics and Gynecology, PLLC

NPI 1730280744ActiveOrganization· Specialist· Coeur D Alene, ID

Specialist in Coeur D Alene, Idaho, registered in NPPES in September 2006. The authorized official on file is Andrew Anthony Henneberg, MD, Owner/Md. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1730280744
StatusActive
Entity typeOrganization
NPI issuedSep 25, 2006
Last updated in NPPESMay 14, 2020
Certified by providerMay 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XM-9485ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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