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SHOULDER & KNEE CENTER PA NPI 1831368752


NPI Information

NPI: 1831368752
Provider Name: SHOULDER & KNEE CENTER, PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2035 E 17TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-5633
Get Directions

SHOULDER & KNEE CENTER, PA is an orthopaedic surgery in Idaho Falls, 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. SHOULDER & KNEE CENTER, PA NPI is 1831368752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2035 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-430
Phone: (208) 524-5633
Fax: (208) 524-1045

The provider's authorized official is John Andary .
The authorized official title is Owner and has the following contact phone number (208) 524-5633.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 9/2/2008.


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 SurgeryM8490IDAHOYes

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
1P00020270OTHERIDAHOTRAVELERS MEDICARE
2000010139745OTHERIDAHOBLUE SHIELD OF IDAHO
3H64951MEDICARE UPINIDAHO
4806411300MEDICAIDIDAHO

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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