NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC – NPI #1104658152
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC is a surgeon located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1104658152 to NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC on August 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Oct 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC below.

NPI Profile for
NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC

NPI Number
1104658152
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC
Primary location
3318 N GRANDMILL LN
COEUR D'ALENE, ID 83814-5689
Phone: (208) 292-0445 Fax: (208) 772-6514
Mailing address
784 S CLEARWATER LOOP # 4128
POST FALLS, ID 83854-9599
Phone: (775) 240-1338 Fax:
Organization Subpart
No
Authorized Official
CORY RICHARDSON
PRESIDENT/OWNER
Phone: (775) 240-1338
Updated
Certification Date
Oct 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.