ORTHOIDAHO LLC (NPI# 1659870517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870517 |
| Entity Type | Organization |
| Organization Name | ORTHOIDAHO LLC |
| Practice Address |
2240 E Center St Pocatello ID 83201-2600 |
| Practice Telephone | 2082332100 |
| Practice Fax Number | 2082333146 |
| Mailing Telephone | 2082332100 |
| Mailing Fax Number | 2082333146 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | REBECCA J SMITH (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2082332100 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2240 E CENTER ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385538 | Matthew L Mckinlay | Physician Assistant | 2240 E Center St, Pocatello, ID 83201 | 2005-09-08 |
| 1194241380 | Pro Ortho Physical Therapy Pllc | Physical Therapist | 2240 E Center St, Pocatello, ID 83201-2600 | 2017-08-18 |
| 1013455914 | Mvh Surgical Specialists LLC | Surgery | 2240 E Center St, Pocatello, ID 83201-2600 | 2017-02-10 |
| 1366989659 | William Scott Harris | Physical Therapist | 2240 E Center St, Ste D, Pocatello, ID 83201-2600 | 2017-01-24 |
| 1336519891 | Timothy E. Snell, Md, Pllc | Pain Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2015-09-28 |
| 1548649072 | Joni Lynn Johnson | Physical Therapist | 2240 E Center St, Suite D, Pocatello, ID 83201-2600 | 2015-05-29 |
| 1932510690 | Jordan Scott Anderson | Physical Therapist | 2240 E Center St, Pocatello, ID 83201-2600 | 2014-05-15 |
| 1548699465 | Physical Therapy Specialists of Idaho | Physical Therapist | 2240 E Center St, Suite D, Pocatello, ID 83201-2600 | 2013-11-01 |
| 1740553361 | Aaron J Altenburg Md PC | Orthopaedic Surgery | 2240 E Center St, Pocatello, ID 83201 | 2012-02-13 |
| 1205085529 | Annie Marie Dixon | Physician Assistant | 2240 E Center St, Pocatello, ID 83201 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1104928670 | Gregory M Ford | Orthopaedic Surgery | 950 Hospital Way, Ste A, Pocatello, ID 83201-2762 | 2006-09-03 |
| 1457345316 | Vermon S Esplin | Orthopaedic Surgery | 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 | 2005-09-07 |
| 1265425789 | Kenneth E Newhouse | Orthopaedic Surgery | 560 Memorial Dr, Pocatello, ID 83201-4073 | 2005-08-30 |
| 1073877213 | Ryan Ned Miller | Orthopaedic Surgery | 444 Hospital Way Ste 710, Pocatello, ID 83201 | 2012-07-03 |
| 1740553361 | Aaron J Altenburg Md PC | Orthopaedic Surgery | 2240 E Center St, Pocatello, ID 83201 | 2012-02-13 |
| 1083857536 | Jeffrey Dee Stucki | Orthopaedic Surgery | 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 | 2009-04-14 |
| 1215145883 | Aaron John Altenburg | Orthopaedic Surgery | 285 Vista Drive, Pocatello, ID 83201 | 2007-05-18 |
| 1851478192 | Benjamin Blair | Orthopaedic Surgery | 2240 E Center St, Pocatello, ID 83201-2600 | 2006-11-01 |
| 1942294624 | Steve L Coker | Orthopaedic Surgery | 560 Memorial Dr, Pocatello, ID 83201-4073 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1053779264 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2016-02-02 |
| 1841611027 | Christopher Frederic Jessen | Orthopaedic Surgery | 5475 E Shoreline Dr, Post Falls, ID 83854-6858 | 2013-12-14 |
| 1881934404 | Kym Orthopedics Pllc | Orthopaedic Surgery | 3316 4th St #4b, Lewiston, ID 83501-4405 | 2013-02-19 |
| 1891056826 | Jonathan Klaucke | Orthopaedic Surgery | 606 N Third Ave Ste 201, Sandpoint, ID 83864 | 2012-06-06 |
| 1508168139 | Lyman Orthopedics Pllc | Orthopaedic Surgery | 1875 N Lakewood Dr, Suite 200, Coeur D Alene, ID 83814-4928 | 2010-12-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1700114725 | David Louis Schenkar | Orthopaedic Surgery | 110 E Gulch Rd, Hailey, ID 83333-8496 | 2009-12-02 |
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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.