NPI 1104658152

North Idaho Endoscopy and Surgical Specialists, PLLC

Organisation Surgery Physician Coeur D Alene, ID

Practice location

Address: 3318 N Grandmill Ln, Coeur D Alene, ID 83814-5689
Phone: (208) 292-0445
Fax: (208) 772-6514
Mailing address: 784 S Clearwater Loop # 4128, Post Falls, ID 83854-9599

Authorised official

Name: Cory Richardson
Title: President/Owner
Phone: (775) 240-1338

Registered specialties (4)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Obesity Medicine (Internal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207RB0002X

Other Internal Medicine providers in Idaho →

Gastroenterology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Trauma Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X

Registry record

NPI: 1104658152
Entity type: Organization
NPI issued: 19 Aug 2024
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.