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

Dr. Cory Glen Richardson, MD

Individual provider Surgery Physician · NPI 1295050342

Dr. Cory Glen Richardson, MD is a General Surgery in Coeur D Alene, Idaho. Graduated from University of Nevada School of Medicine in 2010, 16 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Trained at
University of Nevada School of Medicine
Licensed in
ID
In the registry since
2010
Specialties on file
4
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

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.

Additional practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-5081

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M-13357 (ID)
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X · Licence M-13357 (ID)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence M-13357 (ID)
Gastroenterology Physician Taxonomy 207RG0100X · Licence M-13357 (ID)

Record details

NPI number1295050342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2010
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2010 (16 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

Other providers in Coeur D Alene