Individual provider · Type 1 NPI

Jonathan Moore Shupe, MD

Family Medicine Physician · Coeur D Alene, ID

NPI number 1417241597 Active

Practice location

1919 Lincoln Way, 315
Coeur D Alene, ID 83814-2527

Call (208) 625-6000 Map

Fax (208) 625-6001

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XM12445 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1417241597

Jonathan Moore Shupe, MD's National Provider Identifier is 1417241597, issued on Jun 6, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 23, 2025.