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

Anthony Christopher Derrico, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1538516471

Anthony Christopher Derrico, DO is an Emergency Medicine in Coeur D Alene, Idaho. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho and Wisconsin.

Years since qualifying
10
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
ID, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-5700
Fax: (208) 625-5708
Show map & directions

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

Additional practice locations (3)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-2235
  • 366 Gunfighter Ave Ste 498, Mountain Home Afb, ID 83648-5258 — (419) 251-3232
  • 855 N Westhaven Dr, Oshkosh, WI 54904-7668 — (920) 303-8700

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 81336-021 (WI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence TL-4136 (ID)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence O-1453 (ID)

Record details

NPI number1538516471
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene