Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER D GREENDYKE, MD
Deactivated Sole ProprietorSPENCER D GREENDYKE, MD is a Orthopaedic Surgery healthcare provider located in COEUR D ALENE, Idaho. NPI 1639165038 is deactivated in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · COEUR D ALENE, ID
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639165038
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (0.5041095890411 yrs)
- Last Updated
- Feb 23, 2012
- Deactivated
- Mar 24, 2006
- License
-
M9110 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3318 N GRAND MILL LNCOEUR D ALENE, ID, 838145689Browse ID providers · Browse ZIP 83814
- Phone
- 2082771060
- Fax
- 2082771065
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY ROBERT REES LYMAN | MD | 1316945876 |
| JONATHAN S KING | M.D. | 1326034430 |
| DR. ADAM JAMES OLSCAMP | MD | 1619080439 |
| DOUGLAS PATRICK MCINNIS | MD | 1326151150 |
| WILLIAM FREDERICK SIMS III | MD | 1720191554 |
| ROGER CHARLES DUNTEMAN | MD | 1740390137 |
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.