Pocatello Orthopaedics and Sports Medicine Institute PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

POCATELLO ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PA

Practice address

333 N 18TH Ave
Suite D-1
Pocatello, ID 83201-3358

Phone

(208) 233-2100

Fax

(208) 233-3146

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By 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

Rebecca J Smith

Title

Office Manager

Phone

(208) 233-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1265683445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE D-1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013358",
            "telephone_number": "208-233-2100",
            "fax_number": "208-233-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE D-1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013358",
            "telephone_number": "208-233-2100",
            "fax_number": "208-233-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCATELLO ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-233-2100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocatello Hospital LLC (Portneuf Medical Center)
• Pocatello Hospital, LLC
• Pocatello Id Caregiving LLC (Cornerstone Caregiving)
• Pocatello Inpatient Services PLLC
• Pocatello Limousine LLP
• Pocatello PA Service LLC
• Pocatello Physical Therapy
• Pocatello Physical Therapy Clinic PA
• Pocatello Podiatry Associates PA (Ambulatory Foot and Ankle Clinic)
• Pocatello Pulmonary PC

• Specialist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.