ANTHONY MAISIN BUONCRISTIANI (NPI# 1841246279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841246279 |
| Entity Type | Individual |
| Full Name | ANTHONY MAISIN BUONCRISTIANI |
| Credential | M.D. |
| Practice Address |
100 Hospital Drive Suite # 107 Ketchum ID 83340 |
| Mailing Address |
Po Box 587 Twin Falls ID 83303-0587 |
| Practice Telephone | 2086223312 |
| Practice Fax Number | 2086224919 |
| Mailing Telephone | 2088147400 |
| Mailing Fax Number | 2088147491 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M-9501 | ID | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M-9501 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807513700 | 05 | |
| ID | RR MEDICARE | P00381131 | 01 |
| Street Address |
100 HOSPITAL DRIVE SUITE # 107 |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869470 | St Lukes Medical Center Wood River Ltd | General Acute Care Hospital | 100 Hospital Drive, Ketchum, ID 83340-9999 | 2005-05-24 |
| 1275172249 | Jon J Holmquist | Pharmacist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-12-23 |
| 1841756947 | Briana Nora Tyne Acker | Occupational Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-02-13 |
| 1871042556 | Nancy Dettori | Registered Nurse | 100 Hospital Drive, Ketchum, ID 83340-0100 | 2016-09-23 |
| 1336514272 | Katherine Quaglia | Physical Therapist | 100 Hospital Drive, Suite # 104, Ketchum, ID 83340-7556 | 2015-12-03 |
| 1134506256 | Cathryn Erickson | Internal Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2015-04-27 |
| 1003205949 | Robbin Warner | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2015-01-15 |
| 1558607861 | Mary Kay Hausladen Foley | Physical Therapist | 100 Hospital Drive, Suite 104, Ketchum, ID 83340 | 2012-12-14 |
| 1407116114 | Sarah Barnett Seppa | Dietitian, Registered | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-29 |
| 1841559226 | Martha M Curry | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| 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 |
|---|---|---|---|---|
| 1700827946 | Stephen A Wasilewski | Orthopaedic Surgery | 191 5th Street West, Ketchum, ID 83340 | 2006-06-09 |
| 1720029937 | Del F J Pletcher | Orthopaedic Surgery | 180 W 1st St, #206, Ketchum, ID 83340 | 2006-06-09 |
| 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.