Organization Active NPI

Sawtooth Orthopedic & Fracture Clinic, PA

  • Medical Specialty Clinic/Center
  • Ketchum, ID
National Provider Identifier
1174790257
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M3574 Issued in ID
Legal business name
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Practice address
100 Hospital Dr
Suite 107
Ketchum, ID 83340
Phone
(208) 622-3311
Fax
(208) 622-4919
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Delmer F Pletcher, MD
Title
Owner
Phone
(208) 622-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X M3574 ID Primary

Addresses

Primary practice location

100 Hospital Dr
Suite 107
Ketchum, ID 83340

Mailing address

PO Box 1332
Sun Valley, ID 83353-1332
Phone (208) 622-3311

Other identifiers 1

IdentifierTypeStateIssuer
1111633MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1174790257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "SUN VALLEY",
            "state": "ID",
            "postal_code": "833531332",
            "telephone_number": "208-622-3311",
            "fax_number": "208-622-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "SUITE 107",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-622-3311",
            "fax_number": "208-622-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "PLETCHER",
        "authorized_official_first_name": "DELMER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-622-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "M3574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111633",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.