Organization Active NPI

Orthopedic Health Care Incorporated

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Meridian, ID
National Provider Identifier
1013955178
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
M4426 Issued in ID
Legal business name
ORTHOPEDIC HEALTH CARE INCORPORATED
Practice address
3875 E Overland Rd
Meridian, ID 83642-9005
Phone
(208) 287-0203
Fax
(208) 288-5490
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Calvin Collins, M.D.
Title
MD/Owner
Phone
(208) 287-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X M4426 ID Primary

Addresses

Primary practice location

3875 E Overland Rd
Meridian, ID 83642-9005

Mailing address

PO Box 9515
Boise, ID 83707-9515
Phone (208) 287-0203

Other identifiers 1

IdentifierTypeStateIssuer
807255800MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373673600000",
    "number": "1013955178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9515",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837079515",
            "telephone_number": "208-287-0203",
            "fax_number": "208-288-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429005",
            "telephone_number": "208-287-0203",
            "fax_number": "208-288-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-07-13",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "208-287-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "M4426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807255800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.