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RIVERSIDE ORTHOPEDIC CLINIC NPI 1417326968


NPI Information

NPI: 1417326968
Provider Name: RIVERSIDE ORTHOPEDIC CLINIC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
910 NW 16TH ST
#205
FRUITLAND, ID
ZIP 83619
Phone: (208) 452-3111
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RIVERSIDE ORTHOPEDIC CLINIC is an orthopaedic surgery in Fruitland, 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. RIVERSIDE ORTHOPEDIC CLINIC NPI is 1417326968. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

910 NW 16TH ST
#205
FRUITLAND, ID
ZIP 83619-265
Phone: (208) 452-3111
Fax: (208) 452-3666

The provider's authorized official is Jennifer White .
The authorized official title is Office Manager and has the following contact phone number (208) 452-3111.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 9/15/2015.


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
1207X00000XOrthopaedic SurgeryM-10864IDAHONo
2207X00000XOrthopaedic SurgeryM-10556IDAHOYes

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: 5/5/2024

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