THE SHOULDER CLINIC OF IDAHO PLLC
NPI 1821164138
Orthopaedic Surgery in Boise, ID

NPI Status: Active since November 28, 2006

Contact Information

8854 W EMERALD ST
STE 102
BOISE, ID
ZIP 83704
Phone: (208) 323-4747
Fax: (208) 323-4848

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About THE SHOULDER CLINIC OF IDAHO PLLC

This page provides the complete NPI Profile along with additional information for The Shoulder Clinic Of Idaho Pllc, a provider established in Boise, Idaho operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1821164138 assigned on November 2006. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Thomas Earl Goodwin M.d. (Owner)

NPI
1821164138
Provider Name
THE SHOULDER CLINIC OF IDAHO PLLC
Entity Type
Organization
Location Address
8854 W EMERALD ST STE 102 BOISE, ID 83704
Location Phone
(208) 323-4747
Location Fax
(208) 323-4848
Mailing Address
1940 S BONITO WAY STE 190 MERIDIAN, ID 83642
Mailing Phone
(208) 287-9420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2006
Last Update Date
03-14-2023
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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

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. THOMAS EARL GOODWIN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(208) 323-4747

Reviews for THE SHOULDER CLINIC OF IDAHO PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821164138, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 2 + 6 + 8 + 1 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1821164138.

Other Providers at the Same Location


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

Physical Therapist
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, # 170
BOISE, ID 83704
Physician Assistant (Medical)
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Physical Therapist
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Surgery
8854 W EMERALD ST
BOISE, ID 83704
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Clinic/Center (Physical Therapy)
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Physician Assistant
8854 W EMERALD ST, SUITE #102
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821164138, enumerated as an "organization" on November 28, 2006.

The provider is located at 8854 W EMERALD ST STE 102 BOISE, ID 83704 and the phone number is (208) 323-4747.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.