Organization
ANESTHESIA ASSOCIATES OF COEUR D ALENE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK J PAYNE M.D. (MEMBER)
(208) 771-3722
Entity
Organization
Contact information
Practice address
101 W IRONWOOD DR STE 250, COEUR D ALENE, ID 83814-1415
(208) 765-8585
Mailing address
PO BOX 35145 #40023, SEATTLE, WA 98124-5145
(425) 407-1500
(425) 407-1112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017887
REGENCE B/S GROUP NUMBER
ID
01
—
8B016
BLUE CROSS IDAHO GROUP #
ID
01
—
CE9560
RR MEDICARE GRP NUMBER
ID
Enumeration date
06/02/2006
Last updated
08/31/2023
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