Lewiston Orthopaedic Associates PA

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

LEWISTON ORTHOPAEDIC ASSOCIATES PA

Practice address

320 Warner Dr
Lewiston, ID 83501-4441

Phone

(208) 743-3523

Fax

(208) 746-8741

NPI assigned

Dec 4, 2006

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy L Keene

Title

Ceo

Phone

(208) 298-1020

Specialties & licenses 3

Addresses

Other names 1

• Lewiston Orthopaedic Associates PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Renell Kym, MD

  • Orthopaedic Surgery Physician
  • Moscow, ID
  • NPI 1316932601
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1215095252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON ORTHOPAEDIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-298-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "ID",
            "license": "BL04-213478",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewiston Orthopaedic Associates PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lewiston Family Chiropractic
• Lewiston North of Cascadia, LLC
• Lewiston of Cascadia, LLC (Lewiston Transitional Care of Cascadia)
• Lewiston of Olympus, LLC (Royal Plaza of Olympus Retirement)
• Lewiston Optical L.L.C.
• Lewiston Royal Plaza Care, LLC (Royal Plaza Health and Rehabilitation)
• Lewiston Royal Plaza Retirement, LLC (Royal Plaza Retirement Center)
• Lewiston's Vision Source PLLC (Optometric Vision Center)
• Denise Liedkie, RN
• Life Changes Mental Health Services PLLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.