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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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.

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.

DR. KENNETH E NEWHOUSE MD

Orthopaedic Surgery

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1960

STEVE L COKER MD

Orthopaedic Surgery

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1960

FRANK TODD DIMICK ATC, LAT, LPTA

Physical Therapy Assistant

560 MEMORIAL DR
SUITE C
POCATELLO, ID
ZIP 83201

(208) 232-4267

EDWARD T SCHWARZE MPT

Physical Therapist

560 MEMORIAL DR
SUITE C
POCATELLO, ID
ZIP 83201

(208) 233-4648

DEREK EDDIE PA-C

Physician Assistant

(Medical)

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1960

STEVEN L NELSON PA-C

Physician Assistant

(Surgical)

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1960

DOUGLAS FIELD ASHTON ATC

Specialist/Technologist

(Athletic Trainer)

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1960

IDAHO ORTHOPAEDICS AND SPORTS CLINIC

Durable Medical Equipment & Medical Supplies

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1969

IDAHO ORTHOPEDIC & SPORTS CLINIC PA

Clinic/Center

(Multi-Specialty)

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 234-1969

SHAYNA WALDRON SLP

Speech-Language Pathologist

560 MEMORIAL DR
STE C
POCATELLO, ID
ZIP 83201

(208) 904-1112

MCKENZIE JEMMETT SLP

Speech-Language Pathologist

560 MEMORIAL DR
STE C
POCATELLO, ID
ZIP 83201

(208) 904-1112

KOBI ALCOCER

Specialist/Technologist

(Athletic Trainer)

560 MEMORIAL DR
POCATELLO, ID
ZIP 83201

(208) 239-1433

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.