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
- 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
- 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
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.
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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 | 1 | 1 | 4 | 4 | 4 | 5 | 0 | 8 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 2 | 4 | 8 | 4 | 10 | 0 | 16 | |
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 = 7 | 7 |
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.
DR. KENNETH E NEWHOUSE MD
Orthopaedic Surgery
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
STEVE L COKER MD
Orthopaedic Surgery
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
FRANK TODD DIMICK ATC, LAT, LPTA
Physical Therapy Assistant
560 MEMORIAL DR
SUITE C
POCATELLO, ID
ZIP 83201
EDWARD T SCHWARZE MPT
Physical Therapist
560 MEMORIAL DR
SUITE C
POCATELLO, ID
ZIP 83201
DEREK EDDIE PA-C
Physician Assistant
(Medical)
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
STEVEN L NELSON PA-C
Physician Assistant
(Surgical)
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
DOUGLAS FIELD ASHTON ATC
Specialist/Technologist
(Athletic Trainer)
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
IDAHO ORTHOPAEDICS AND SPORTS CLINIC
Durable Medical Equipment & Medical Supplies
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
IDAHO ORTHOPEDIC & SPORTS CLINIC PA
Clinic/Center
(Multi-Specialty)
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
SHAYNA WALDRON SLP
Speech-Language Pathologist
560 MEMORIAL DR
STE C
POCATELLO, ID
ZIP 83201
MCKENZIE JEMMETT SLP
Speech-Language Pathologist
560 MEMORIAL DR
STE C
POCATELLO, ID
ZIP 83201
KOBI ALCOCER
Specialist/Technologist
(Athletic Trainer)
560 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114445087, enumerated 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.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.