Active NPI
Kyle L. Palmer, M.D., PLLC
- Orthopaedic Surgery Physician
- Meridian, ID
National Provider Identifier
1073720173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M5987
- Legal business name
- KYLE L. PALMER, M.D., PLLC
- Practice address
- 3875 East Overland Road
Meridian, ID 83642 - Phone
- (208) 884-8300
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle L Palmer, M.D.
- Title
- Owner
- Phone
- (208) 884-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M5987 | ID | Primary |
Addresses
Primary practice location
3875 East Overland Road
Meridian, ID 83642
Mailing address
3875 East Overland Road
Meridian, ID 83642
Phone (208) 884-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804142100 | Medicaid | ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1073720173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 EAST OVERLAND ROAD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-884-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 EAST OVERLAND ROAD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-884-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYLE L. PALMER, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-884-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M5987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804142100",
"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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.