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

Dr. Eric L Wallace, DO

Individual provider Internal Medicine Physician · NPI 1568658243

Dr. Eric L Wallace, DO is an Interventional Cardiology in Coeur D Alene, Idaho. Qualified in 2006, 20 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Kentucky, North Carolina and Washington.

Years since qualifying
20
Licensed in
ID, KY, NC, WA
In the registry since
2007
Specialties on file
5
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

700 W Ironwood Dr 320
Coeur D Alene, ID 83814-2656
Phone: (208) 625-5250
Show map & directions

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

Additional practice locations (2)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-5084
  • 415 6th St, Lewiston, ID 83501 — (208) 750-7507

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence O-0839 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 03263 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2007-014326 (NC)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence O0839 (ID)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence OP60505950 (WA)

Record details

NPI number1568658243
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 17, 2007
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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