DR. JOHN L ANDARY (NPI# 1629060280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060280 |
| Entity Type | Individual |
| Full Name | DR. JOHN L ANDARY |
| Credential | M.D. |
| Practice Address |
2035 E 17th St Idaho Falls ID 83404-6430 |
| Mailing Address |
8775 S Saddle Horn Dr Idaho Falls ID 83404-4957 |
| Practice Telephone | 2085245633 |
| Practice Fax Number | 2085241045 |
| Mailing Telephone | 2085522221 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2014-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M-8490 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 00001013974 | 01 |
| ID | BLUE CROSS OF IDAHO | 50476 | 01 |
| ID | 806411300 | 05 |
| Street Address |
2035 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831368752 | Shoulder & Knee Center, Pa | Orthopaedic Surgery | 2035 E 17th St, Idaho Falls, ID 83404-6430 | 2008-02-25 |
| 1518908581 | David Charles Simon | Physical Medicine & Rehabilitation | 2035 E 17th St, Idaho Falls, ID 83404-6430 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1497913008 | Benjamin B Garner | Orthopaedic Surgery | 3200 Channing Way Ste 205a, Idaho Falls, ID 83404-7586 | 2008-05-30 |
| 1730297706 | Philip R Mccowin | Orthopaedic Surgery | 2321 Coronado St, Idaho Falls, ID 83404-7407 | 2006-08-29 |
| 1932136512 | Casey I Huntsman | Orthopaedic Surgery | 3300 Washington Parkway, Idaho Falls, ID 83404-7592 | 2006-06-27 |
| 1710985551 | Robert Jensen Lee | Orthopaedic Surgery | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2005-07-13 |
| 1528683059 | Mennear Orthopedics LLC | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2020-06-10 |
| 1295189918 | East Idaho Orthopaedics Pllc | Orthopaedic Surgery | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 | 2016-04-19 |
| 1811372410 | Logan Cooper | Orthopaedic Surgery | 3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 | 2015-07-23 |
| 1356785018 | Huntsman & Dalling Orthopedics Pllc | Orthopaedic Surgery | 3300 Washington Parkway, Idaho Falls, ID 83404-7592 | 2013-04-24 |
| 1992067722 | Brandon David Mennear | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404 | 2012-06-07 |
| 1689940405 | Lance Glen Jacobson | Orthopaedic Surgery | 3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 | 2012-03-26 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.