Blackrock Orthopedic Specialists LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BLACKROCK ORTHOPEDIC SPECIALISTS LLC

Practice address

2960 E. St. Lukes St.
Suite 200
Meridian, ID 83642

Phone

(801) 928-8290

NPI assigned

Feb 9, 2022

Organization subpart

No

Name

Corbett Dee Winegar, MDNPI 1669632386

Title

Owner

Phone

(801) 928-8290

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

• Corbett D Winegar, M.D.

  • Orthopaedic Surgery Physician
  • Meridian, ID
  • NPI 1669632386

  ID, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Ray Byron Jensen, D.O.

  • Orthopaedic Surgery Physician
  • Spearfish, SD
  • NPI 1962716761

  ID, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Craig R Jamison, PAC

  • Orthopaedic Surgery Physician
  • Caldwell, ID
  • NPI 1447248141

  ID

  Medicare reassignment Care Compare group

Medicare fee-for-service enrollment

Enrolled in ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2022.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1104570084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 E. ST. LUKES ST.",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "801-928-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 E. ST. LUKES ST.",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "801-928-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKROCK ORTHOPEDIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "WINEGAR",
        "authorized_official_first_name": "CORBETT",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-928-8290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Black
• Tarah Black, INHC
• Samantha D'Ann Blackburn, PMHNP-BC; FNP-C
• Amy Blackledge, RN
• Blackmer Podiatry
• Lacee Danielle Blackstone
• Chad Blair
• Randall Parley Blair, DMD
• Carolyn Blaisdell, MS OTR/L
• Lloyd W. Blake, MD

• All providers in Meridian, ID
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.