Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kootenai Health, Inc

Organization Surgical Physician Assistant · NPI 1629249370

Kootenai Health, Inc is a Surgical Physician Assistant in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 42 (ID)

Record details

NPI number1629249370
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKootenai Health, Inc
Authorized official Jon Ness — Ceo · (208) 625-5081
NPI enumeratedMarch 20, 2008
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

Other providers in Coeur D Alene