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MARK A SPELICH MD PC NPI 1346375417


NPI Information

NPI: 1346375417
Provider Name: MARK A SPELICH MD PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
6590 W NORWOOD DR
BOISE, ID
ZIP 83704
Phone: (208) 855-2410
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MARK A SPELICH MD PC is an orthopaedic surgery in Boise, ID. The provider is 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. MARK A SPELICH MD PC NPI is 1346375417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6590 W NORWOOD DR
BOISE, ID
ZIP 83704
Phone: (208) 855-2410
Fax: (208) 855-0157

The provider's authorized official is Lori J Sarich .
The authorized official title is Office Manager and has the following contact phone number (208) 855-2410.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryM9278IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11131204MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE PROVIDER #
274880OTHERIDAHOBLUE CROSS OF IDAHO #
3807210200MEDICAIDIDAHO
45499920001MEDICARE NSCIDAHO
5000010151179OTHERIDAHOREGENCE BLUE SHIELD #
6I37201MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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