JEFFREY S SHILT MD NPI 1730165366

NPI Information

NPI: 1730165366
Provider Name: JEFFREY S SHILT, MD
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

PECOS Registration: Yes

Address:
703 S AMERICANA BLVD
STE 120
BOISE, ID
ZIP 83702
Phone: (208) 323-2600
Get Directions

Jeffrey S Shilt, MD is a pediatric orthopaedic surgery orthopaedic surgery in Boise, ID. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Jeffrey S Shilt, MD NPI is 1730165366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

703 S AMERICANA BLVD
STE 120
BOISE, ID
ZIP 83702-099
Phone: (208) 323-2600

The NPI 1730165366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 2/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		9901473	NORTH CAROLINA	No
2	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	M10261	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20002872	MEDICARE PIN	IDAHO
2	200043936	OTHER		RR MEDICARE

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

NPI Synchronization or Removal

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