Unknown Individual – Family Medicine Physician, NPI 1154714343
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
660 UPLAND DR
SANDPOINT, ID 838647268
Phone: (208) 263-9497
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83864)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | ID | 81002 | Urinalysis, manual test | 20 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | AZ | |
| Family Practice | ID | |
| Clinical Psychologist | MT | |
| Physician Assistant | ID | |
| - | ID | |
| - | ID |
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