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

John J Mytych, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1457452476

John J Mytych, DPM is a Podiatry in Coeur D Alene, Idaho. Qualified in 2000, 26 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Illinois and Utah.

Years since qualifying
26
Licensed in
ID, IL, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone: (208) 625-6944
Fax: (208) 625-6945
Show map & directions

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

Additional practice locations (2)

  • 962 Chambers St, Ogden, UT 84403-5087 — (801) 373-2499
  • 2159 S 700 E Ste 150, Salt Lake City, UT 84106-2279 — (801) 466-1333

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 3271756 (ID)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 10140276-0501 (UT)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005082 (IL)

Record details

NPI number1457452476
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address280 S Main St, Bountiful, UT 84010-6236

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Coeur D Alene