Coeur D'Alene Surgical and Vein
NPI 1225368632 · Medical Specialty Clinic/Center · Coeur D Alene, ID
Coeur D'Alene Surgical and Vein is a Medical Specialty Clinic/Center organization in Coeur D Alene, ID (NPI 1225368632).
Provider details
- NPI number
- 1225368632
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Johnson, Managing Member(208) 664-4940
- License
- M-7963 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2013-03-20
Frequently asked questions
- What is Coeur D'Alene Surgical and Vein's NPI number?
- Coeur D'Alene Surgical and Vein's National Provider Identifier (NPI) is 1225368632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coeur D'Alene Surgical and Vein?
- Coeur D'Alene Surgical and Vein is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coeur D'Alene Surgical and Vein located?
- Coeur D'Alene Surgical and Vein's practice location on file with NPPES is 608 Northwest Blvd, Coeur D Alene, ID 83814-2174.
- What is Coeur D'Alene Surgical and Vein's phone number?
- The practice phone number listed in the NPPES registry for Coeur D'Alene Surgical and Vein is (208) 664-4940.
- Who is the authorized official for Coeur D'Alene Surgical and Vein?
- The authorized official listed on Coeur D'Alene Surgical and Vein's NPPES record is Kevin Johnson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coeur D'Alene Surgical and Vein's NPI active?
- Yes — Coeur D'Alene Surgical and Vein's NPI (1225368632) is active in the NPPES registry as of the last update on 2013-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.