DIRECT ORTHOPEDIC CARE LLC (NPI# 1104367028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367028 |
| Entity Type | Organization |
| Organization Name | DIRECT ORTHOPEDIC CARE LLC |
| Practice Address |
1789 S Broadway Ave Ste 100 Boise ID 83706-3800 |
| Mailing Address |
7979 W Rifleman St Boise ID 83704-9066 |
| Practice Telephone | 2083214000 |
| Practice Fax Number | 2088550157 |
| Mailing Telephone | 2083214000 |
| Mailing Fax Number | 2088550157 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | JENNY HAMILTON (BILLING OFFICE MANAGER) |
| Authorized Official Telephone | 2083214000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640851 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2017-03-10 |
| 1245778208 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Ste 115, Meridian, ID 83642-3757 | 2017-02-09 |
| 1356769434 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 7979 W Rifleman St, Boise, ID 83704-9066 | 2014-04-04 |
| Street Address |
1789 S BROADWAY AVE STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1164657854 | James Thomas Beckmann | Orthopaedic Surgery | 1109 W. Myrtle St. Suite 200, St. Luke's Hospital System, Boise, ID 83702 | 2009-05-25 |
| 1326289364 | Steven B Daines | Orthopaedic Surgery | 6165 W Emerald, Boise, ID 83704-8613 | 2009-03-22 |
| 1336392448 | Intermountain Orthopaedic Pllc | Orthopaedic Surgery | 600 N. Robbins Rd, Ste 401, Boise, ID 83702-4539 | 2008-11-03 |
| 1801010541 | Jason F Robison | Orthopaedic Surgery | 600 N Robbins Road, Suite 100, Boise, ID 83702 | 2007-04-12 |
| 1487799813 | Roman Schwartsman Md PC | Orthopaedic Surgery | 6590 W Norwood Dr, Boise, ID 83704 | 2007-02-21 |
| 1992817167 | Tom Faciszewski | Orthopaedic Surgery | 4850 N Rosepoint Way, Suite 100, Boise, ID 83713-5262 | 2006-08-31 |
| 1205944303 | Joseph Randall Lynch | Orthopaedic Surgery | 8854 W Emerald St Ste 102, Boise, ID 83704-4845 | 2006-08-28 |
| Find all providers in BOISE | ||||
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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.