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SUN VALLEY SPORTS MEDICINE, P.A.
NPI 1124061163
Orthopaedic Surgery in Ketchum, ID

Active since June 14, 2006
191 5TH ST W, KETCHUM, ID 83340(208) 726-5207(208) 726-8948 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sun Valley Sports Medicine, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN VALLEY SPORTS MEDICINE, P.A. (NPI 1124061163) is a healthcare organization registered as an orthopaedic surgery in Ketchum, Idaho and active in the NPI registry since June 2006. The organization lists Stephen Wasilweski, Physician, as its authorized official.

NPPES Registry Identity

NPI1124061163
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSUN VALLEY SPORTS MEDICINE, P.A.
Location Address191 5TH ST WKetchum, ID 83340
Mailing Address191 5th St WKetchum, ID 83340 · (208) 726-5207 · Fax (208) 726-8948
Phone(208) 726-5207
Fax(208) 726-8948
Organization SubpartNo
Authorized OfficialStephen WasilweskiPhysician · (208) 726-5207
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1124061163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
191 5TH ST W, Ketchum, ID 83340
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Other Identifiers 4

Medicare ID-Type Unspecified1374830ID · Medicare Number
Other200015728ID · Rr Medicare
Medicare NSC0543660001ID
Medicaid805960600ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun Valley Sports Medicine, P.A.'s NPI number?

The NPI number for Sun Valley Sports Medicine, P.A. is 1124061163. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Sun Valley Sports Medicine, P.A. located?

Sun Valley Sports Medicine, P.A. is located at 191 5th St W, Ketchum, ID 83340. The listed phone number is (208) 726-5207.

What is Sun Valley Sports Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Sun Valley Sports Medicine, P.A. was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.