IDAHO ORTHOPAEDIC & SPORTS CLINIC, P.A.
NPI 1114445087
Orthopaedic Surgery - Sports Medicine in Pocatello, ID

NPI Status: Active since August 31, 2017

Contact Information

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-1960

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About IDAHO ORTHOPAEDIC & SPORTS CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Idaho Orthopaedic & Sports Clinic, P.a., a provider established in Pocatello, Idaho operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1114445087 assigned on August 2017. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Idaho Orthopaedic & Sports Clinic, P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Idaho Orthopaedic & Sports Clinic, P.a.. The authorized official of this NPI record is D. Jeff Daniels (Ceo)

NPI
1114445087
Provider Legal Name
BMH INC.
Other Organization Name
IDAHO ORTHOPAEDIC & SPORTS CLINIC, P.A.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
560 MEMORIAL DR POCATELLO, ID 83201
Location Phone
(208) 234-1960
Mailing Address
98 POPLAR ST BLACKFOOT, ID 83221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2017
Last Update Date
08-31-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

D. JEFF DANIELS

Authorized Official Title
CEO
Authorized Official Phone
(208) 785-3803

Reviews for IDAHO ORTHOPAEDIC & SPORTS CLINIC, P.A.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114445087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21248410016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 4 + 1 + 0 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1114445087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265425789DR. KENNETH E NEWHOUSE MD
Individual
Orthopaedic Surgery560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1960
1942294624 STEVE L COKER MD
Individual
Orthopaedic Surgery560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1960
1366470031 FRANK TODD DIMICK ATC, LAT, LPTA
Individual
Physical Therapy Assistant560 MEMORIAL DR SUITE C
POCATELLO, ID 83201
(208) 232-4267
1083788764 EDWARD T SCHWARZE MPT
Individual
Physical Therapist560 MEMORIAL DR SUITE C
POCATELLO, ID 83201
(208) 233-4648
1346375367 DEREK EDDIE PA-C
Individual
Physician Assistant (Medical)560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1960
1659689362 STEVEN L NELSON PA-C
Individual
Physician Assistant (Surgical)560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1960
1780963108 DOUGLAS FIELD ASHTON ATC
Individual
Specialist/Technologist (Athletic Trainer)560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1960
1568549848IDAHO ORTHOPAEDICS AND SPORTS CLINIC
Organization
Durable Medical Equipment & Medical Supplies560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1969
1538238571IDAHO ORTHOPEDIC & SPORTS CLINIC PA
Organization
Clinic/Center (Multi-Specialty)560 MEMORIAL DR
POCATELLO, ID 83201
(208) 234-1969
1952785172 SHAYNA WALDRON SLP
Individual
Speech-Language Pathologist560 MEMORIAL DR STE C
POCATELLO, ID 83201
(208) 904-1112
1194109223 MCKENZIE JEMMETT SLP
Individual
Speech-Language Pathologist560 MEMORIAL DR STE C
POCATELLO, ID 83201
(208) 904-1112
1952014714 KOBI ALCOCER
Individual
Specialist/Technologist (Athletic Trainer)560 MEMORIAL DR
POCATELLO, ID 83201
(208) 239-1433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114445087, enumerated in the NPI registry as an "organization" on August 31, 2017

The provider is located at 560 Memorial Dr Pocatello, Id 83201 and the phone number is (208) 234-1960

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

This NPI record was last updated on August 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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