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

Andrew Anthony Henneberg, MD

Individual provider Specialist · NPI 1689603847

Andrew Anthony Henneberg, MD is an Obstetrics/Gynecology in Coeur D Alene, Idaho. Graduated from Loma Linda University School of Medicine in 2002, 24 years ago. Practices with Coeur Obstetrics and Gynecology PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
24
Trained at
Loma Linda University School of Medicine
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814
Phone: (208) 765-4888
Fax: (208) 667-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 980 W Ironwood Dr, Coeur D Alene, ID 83814 — (208) 765-4888

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-9485 (ID)
Specialist Taxonomy 174400000X · Licence M-9485 (ID)

Record details

NPI number1689603847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Coeur Obstetrics And Gynecology Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene