DR. KIRK J LEWIS (NPI# 1033115803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033115803 |
| Entity Type | Individual |
| Full Name | DR. KIRK J LEWIS |
| Credential | MD |
| Practice Address |
1188 University Dr Boise ID 83706 |
| Mailing Address |
1188 W University Dr Boise ID 83706-3009 |
| Practice Telephone | 2083368250 |
| Practice Fax Number | 2083459514 |
| Mailing Telephone | 2083368250 |
| Mailing Fax Number | 2083459514 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M4960 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1033115803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780032896 | Kirk E Lewis | Social Worker | 375 W Hamilton Ln, Palatine, IL 60067-2444 | 2016-05-31 |
| Street Address |
1188 UNIVERSITY DR |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418903 | George A. Wade | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-24 |
| 1538359815 | Korene D Mayo | Specialist/Technologist | 1188 University Dr, Boise, ID 83706-3009 | 2007-08-01 |
| 1154356624 | Idaho Sports Medicine Institute, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 1188 University Dr, Boise, ID 83706-3009 | 2006-07-12 |
| 1184699787 | Elizabeth Greenway Schoenfeld | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2006-02-17 |
| 1609872241 | Kristin K Hulquist | Physical Therapist | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1639175276 | Bradford R. Page | Physical Therapist | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1386640928 | Linda Hammann | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-27 |
| 1245236983 | Jennifer Rawlings Miller | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1043216823 | Scot B Scheffel | Family Medicine | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418903 | George A. Wade | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-24 |
| 1306842182 | Michael J Gustavel | Orthopaedic Surgery | 1702 W Fairview Ave, Boise, ID 83702-5121 | 2005-06-24 |
| 1861961732 | Gustavel Orthopedics Pllc | Orthopaedic Surgery | 1702 W Fairview Ave, Boise, ID 83702-5121 | 2018-11-20 |
| 1780694182 | Erik J Heggland | Orthopaedic Surgery | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-08-08 |
| 1245236983 | Jennifer Rawlings Miller | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399517 | Delaney Bergen | Orthopaedic Surgery | 738 N College Rd Ste C, Twin Falls, ID 83301-3387 | 2020-08-31 |
| 1164597431 | Douglas Alan Cipriano | Orthopaedic Surgery | 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864-1689 | 2006-11-22 |
| 1558375568 | Joseph R Liljenquist | Orthopaedic Surgery | 3405 Merlin Drive, Idaho Falls, ID 83404 | 2006-07-27 |
| 1124061163 | Sun Valley Sports Medicine, P.a. | Orthopaedic Surgery | 191 5th St W, Ketchum, ID 83340 | 2006-06-14 |
| 1568443158 | Paul Calvin Collins | Orthopaedic Surgery | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2005-11-10 |
| 1114445087 | Bmh Inc. | Orthopaedic Surgery | 560 Memorial Dr, Pocatello, ID 83201-4070 | 2017-08-31 |
| 1982060984 | Bonner General Hospital, Inc | Orthopaedic Surgery | 606 N 3rd Ave, Ste 201, Sandpoint, ID 83864-1594 | 2016-01-06 |
| 1477965952 | Gregory M. Ford, Md Pllc | Orthopaedic Surgery | 950 Hospital Way, Ste A, Pocatello, ID 83201-2789 | 2014-06-02 |
| 1932532686 | Jason P Richards Md Pllc | Orthopaedic Surgery | 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 | 2013-08-16 |
| 1013264183 | Teton Valley Health Care Inc | Orthopaedic Surgery | 283 N 1st E, Driggs, ID 83422-5109 | 2012-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.