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

North Idaho Endoscopy and Surgical Specialists, PLLC

Organization Obesity Medicine (Internal Medicine) Physician · NPI 1104658152

North Idaho Endoscopy and Surgical Specialists, PLLC is an Obesity Medicine (Internal Medicine) Physician in Coeur D Alene, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3318 N Grandmill Ln
Coeur D Alene, ID 83814-5689
Phone: (208) 292-0445
Fax: (208) 772-6514
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X
Gastroenterology Physician Taxonomy 207RG0100X
Trauma Surgery Physician Taxonomy 2086S0127X

Record details

NPI number1104658152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Richardson — President/Owner · (775) 240-1338
NPI enumeratedAugust 19, 2024
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address784 S Clearwater Loop # 4128, Post Falls, ID 83854-9599