Verst Spine & Orthopedic Care,PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

M8204 Issued in ID

Legal business name

VERST SPINE & ORTHOPEDIC CARE,PLLC

Practice address

15 West Galena St
Hailey, ID 83333

Phone

(208) 788-7779

Fax

(208) 788-7784

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joy Elaine Jex

Title

Financial Manager

Phone

(208) 788-7779

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1124060983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WEST GALENA ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "83333",
            "telephone_number": "208-788-7779",
            "fax_number": "208-788-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST GALENA ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "83333",
            "telephone_number": "208-788-7779",
            "fax_number": "208-788-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERST SPINE & ORTHOPEDIC CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "JEX",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "208-788-7779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "ID",
            "license": "M8204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806197100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kay Unger, DDS
• Jean Anne Vandenberg
• Cortney A Vandenburgh, DO
• Amber Vanderbeek, LCSW
• Gwendolyn Ann Vandooren, D.C.
• David Bernard Verst, MD
• Carol A Wade, R.N.,C.S.,F.N.P.
• Connor Joseph Wade
• Benton Wagner
• Britlynn Ward, LAC

• Orthopaedic Surgery of the Spine Physician in Hailey, ID
• Providers in Hailey, ID by specialty
• Orthopaedic Surgery of the Spine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.