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
Provider Name :Dr. Jeremy Robert Nicolarsen
Credential :MD
Gender :Male
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
Phone Number :208-625-4000
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
NPI Entity Type : Individual
First Enrolment Date : 09 Oct, 2008
Last Updated On : 02 Oct, 2020
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
Medicare Enrollment ID :I20160808002023
Primary Specialty :Cardiovascular Disease (cardiology)
Medical School :University Of Chicago, Pritzker School Of Medicine
Graduation Year :2007
Accepts Medicare?Yes. Dr. Jeremy Robert Nicolarsen accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Providence Health And Services Washington03451399296781200 E Columbia Ave
Colville, WA - 991143354
Ph: 5096843701
Yes
Providence Health And Services Washington0345139929678101 W 8th Ave
Spokane, WA - 992042307
Yes
Providence Health And Services Washington0345139929678701 Lewiston St
Cottonwood, ID - 835229750
Ph: 2089623251
Yes
Providence Health And Services Washington0345139929678700 S Main St
Moscow, ID - 838433056
Ph: 2088824511
Yes
Providence Health And Services Mt6608786306287500 W Broadway St
Suite 320
Missoula, MT - 598024003
Ph: 4063295615
Yes
Providence Health And Services Mt6608786306287500 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 SpecialityPrimaryLicense No.State
2080P0202XPediatrics Pediatric CardiologyYesM13579ID
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
Phone Number :208-625-4000
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.