Dr. Jeremy Robert Nicolarsen
MD | Pediatric Cardiology | Male
Dr. Jeremy Robert Nicolarsen, MD is a Coeur D Alene, Idaho based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Jeremy Robert Nicolarsen is
2003 Kootenai Health Way, Coeur D Alene, Idaho - 83814-6051. He can be contacted on phone at
208-625-4000.
Dr. Jeremy Robert Nicolarsen is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jeremy Robert Nicolarsen is
1891946778 which was assigned by NPPES on 09 Oct, 2008 and it was last updated on 02 Oct, 2020.
Dr. Jeremy Robert Nicolarsen license number is
M13579 for Pediatrics Pediatric Cardiology (2080P0202X) in Idaho.
Dr. Jeremy Robert Nicolarsen provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Jeremy Robert Nicolarsen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Cardiology |
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Provider Name : | Dr. Jeremy Robert Nicolarsen |
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Credential : | MD |
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Gender : | Male |
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Business Address:
Dr. Jeremy Robert Nicolarsen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 2003 Kootenai Health Way Coeur D Alene, ID, 83814-6051 United States |
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Phone Number : | 208-625-4000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1891946778 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 09 Oct, 2008 |
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Last Updated On : | 02 Oct, 2020 |
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Medicare Participation:
Dr. Jeremy Robert Nicolarsen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 3971746496 |
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Medicare Enrollment ID : | I20160808002023 |
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Primary Specialty : | Cardiovascular Disease (cardiology) |
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Medical School : | University Of Chicago, Pritzker School Of Medicine |
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Graduation Year : | 2007 |
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Accepts Medicare? | Yes. Dr. Jeremy Robert Nicolarsen accepts medicare insurance. |
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Group Practice Association:
Dr. Jeremy Robert Nicolarsen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jeremy Robert Nicolarsen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Providence Health And Services Washington | 0345139929 | 678 | 1200 E Columbia Ave Colville, WA - 991143354 Ph: 5096843701 | Yes |
Providence Health And Services Washington | 0345139929 | 678 | 101 W 8th Ave Spokane, WA - 992042307 | Yes |
Providence Health And Services Washington | 0345139929 | 678 | 701 Lewiston St Cottonwood, ID - 835229750 Ph: 2089623251 | Yes |
Providence Health And Services Washington | 0345139929 | 678 | 700 S Main St Moscow, ID - 838433056 Ph: 2088824511 | Yes |
Providence Health And Services Mt | 6608786306 | 287 | 500 W Broadway St Suite 320 Missoula, MT - 598024003 Ph: 4063295615 | Yes |
Providence Health And Services Mt | 6608786306 | 287 | 500 W Broadway St 320 Int Heart Inst Of Mt Missoula, MT - 598024031 Ph: 4063295615 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremy Robert Nicolarsen are as mentioned. Primary taxonomy code for Dr. Jeremy Robert Nicolarsen, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0202X | Pediatrics Pediatric Cardiology | Yes | M13579 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 2003 Kootenai Health Way Coeur D Alene, ID, 83814-6051 United States |
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Phone Number : | 208-625-4000 |
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Business Location:
Patients can refer following map for directions to
Dr. Jeremy Robert Nicolarsen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.