Active NPI
Sawtooth Orthopedic & Fracture Clinic, PA
- Medical Specialty Clinic/Center
- Ketchum, ID
National Provider Identifier
1174790257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- M3574
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111633 | Medicaid | ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Ketchum, ID
- NPI 1841246279
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.