Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MOORE SHUPE, M.D.
ActiveJONATHAN MOORE SHUPE, M.D. is a Family Medicine healthcare provider located in COEUR D ALENE, Idaho. NPI 1417241597 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1417241597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2011 (15.193088992069 yrs)
- Last Updated
- Jul 23, 2025
- License
-
M12445 (ID)
Practice Information
- Address
-
1919 LINCOLN WAY315COEUR D ALENE, ID, 838142527Browse ID providers · Browse ZIP 83814
- Phone
- 2086256000
- Fax
- 2086256001
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL G MEZA | MD | 1134124506 |
| DR. STUART BRUCE DENNY | MD | 1871598862 |
| NEIL L NEMEC | M.D. | 1407852270 |
| ROBERT M MCFARLAND | M.D. | 1699771469 |
| MICHAEL A DIXON | M.D. | 1205832953 |
| RICHARD A MCLANDRESS | M.D. | 1194723908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.