Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACE HEAVENER, D.O.
ActiveTRACE HEAVENER, D.O. is a Gastroenterology healthcare provider located in COEUR D ALENE, Idaho. NPI 1841646726 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1841646726
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2016 (10.284879975139 yrs)
- Last Updated
- May 6, 2025
- License
-
O-1809 (ID)
Practice Information
- Address
-
1919 LINCOLN WAY STE 415COEUR D ALENE, ID, 838142527Browse ID providers · Browse ZIP 83814
- Phone
- 2086254595
- Fax
- 2086254596
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| GEORGE CHRISTOPHER KUTTERUF | MD | 1235211582 |
| STANLEY A TOELLE | MD | 1396827507 |
| GAVIN S YOUNG | MD | 1629147103 |
| DR. R RANDY HOPKINS | MD | 1548339047 |
| DR. KEVIN ROBERT WEBB | M.D. | 1306003561 |
| DR. CHRISTOPHER MICHAEL WOOD | D.O. | 1528351954 |
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.