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

Dr. Alicia Eve Ogram, MD

Individual provider Dermatology Physician · NPI 1275792525

Dr. Alicia Eve Ogram, MD is a Dermatology in Coeur D Alene, Idaho. Graduated from Georgetown University School of Medicine in 2008, 18 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
18
Trained at
Georgetown University School of Medicine
Licensed in
ID
In the registry since
2008
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 1
Coeur D Alene, ID 83814-2617
Phone: (208) 625-4333
Fax: (208) 625-4334
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M-13795 (ID)

Record details

NPI number1275792525
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2008
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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