IDAHO ORTHOPEDIC & SPORTS CLINIC PA
NPI 1538238571
Clinic/Center - Multi-Specialty in Pocatello, ID
NPI Status: Active since November 06, 2006
Contact Information
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-1969
Fax: (208) 233-5033
- Organization
- Clinic/Center
- Multi-Specialty
About IDAHO ORTHOPEDIC & SPORTS CLINIC PA
This page provides the complete NPI Profile along with additional information for Idaho Orthopedic & Sports Clinic Pa, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1538238571 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ryan Hall (Administrator)
- NPI
- 1538238571
- Provider Name
- IDAHO ORTHOPEDIC & SPORTS CLINIC PA
- Entity Type
- Organization
- Location Address
- 560 MEMORIAL DR POCATELLO, ID 83201
- Location Phone
- (208) 234-1969
- Location Fax
- (208) 233-5033
- Mailing Address
- 560 MEMORIAL DR POCATELLO, ID 83201
- Mailing Phone
- (208) 234-1969
- Mailing Fax
- (208) 233-5033
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2006
- Last Update Date
- 07-30-2015
- Code Navigator
Location Map
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805136500 | MEDICAID (05) | ID | |
| 1374081 | MEDICARE ID-TYPE UNSPECIFIED (04) | ID |
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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. | |||||||||
| 1 | 5 | 3 | 8 | 2 | 3 | 8 | 5 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 4 | 3 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 4 + 3 + 1 + 6 + 5 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1538238571 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1265425789 | DR. KENNETH E NEWHOUSE MD Individual | Orthopaedic Surgery | 560 MEMORIAL DR POCATELLO, ID 83201 (208) 234-1960 |
| 1942294624 | STEVE L COKER MD Individual | Orthopaedic Surgery | 560 MEMORIAL DR POCATELLO, ID 83201 (208) 234-1960 |
| 1366470031 | FRANK TODD DIMICK ATC, LAT, LPTA Individual | Physical Therapy Assistant | 560 MEMORIAL DR SUITE C POCATELLO, ID 83201 (208) 232-4267 |
| 1083788764 | EDWARD T SCHWARZE MPT Individual | Physical Therapist | 560 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 |
| 1568549848 | IDAHO ORTHOPAEDICS AND SPORTS CLINIC Organization | Durable Medical Equipment & Medical Supplies | 560 MEMORIAL DR POCATELLO, ID 83201 (208) 234-1969 |
| 1952785172 | SHAYNA WALDRON SLP Individual | Speech-Language Pathologist | 560 MEMORIAL DR STE C POCATELLO, ID 83201 (208) 904-1112 |
| 1194109223 | MCKENZIE JEMMETT SLP Individual | Speech-Language Pathologist | 560 MEMORIAL DR STE C POCATELLO, ID 83201 (208) 904-1112 |
| 1114445087 | BMH INC. Organization | Orthopaedic Surgery (Sports Medicine) | 560 MEMORIAL DR POCATELLO, ID 83201 (208) 234-1960 |
| 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 1538238571, enumerated in the NPI registry as an "organization" on November 06, 2006
The provider is located at 560 Memorial Dr Pocatello, Id 83201 and the phone number is (208) 234-1969
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 06, 2006. 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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