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

Dr. Douglas R Stafford, MD

Individual provider Vascular Surgery Physician · NPI 1598767196

Dr. Douglas R Stafford, MD is a General Surgery in Coeur D Alene, Idaho. Graduated from University of Wisconsin School of Medicine in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
33
Trained at
University of Wisconsin School of Medicine
Licensed in
ID
In the registry since
2005
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

2109 N Main St
Coeur D Alene, ID 83814
Phone: (208) 676-0104
Fax: (208) 765-1893
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence M7604 (ID)

Record details

NPI number1598767196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2005
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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