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

Shana D Fogarty, MD

Individual provider Family Medicine Physician · NPI 1104879899

Shana D Fogarty, MD is a Family Practice in Coeur D Alene, Idaho. Graduated from University of Washington School of Medicine in 2001, 25 years ago. Practices with Northwest Hospital Medicine Physicians LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
25
Trained at
University of Washington School of Medicine
Licensed in
ID, WA
In the registry since
2006
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

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-5085
Fax: (208) 625-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence M8664 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61238314 (WA)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence MD61238314 (WA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD61238314 (WA)

Record details

NPI number1104879899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Northwest Hospital Medicine Physicians Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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