Twin Falls Orthopedics PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP710A Issued in ID

Legal business name

TWIN FALLS ORTHOPEDICS PLLC

Practice address

562 Shoup Ave W
Twin Falls, ID 83301-5029

Phone

(208) 734-3455

Fax

(208) 733-7389

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Tami Charlton

Title

Office Manager

Phone

(208) 734-3455

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336346469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-734-3455",
            "fax_number": "208-733-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-734-3455",
            "fax_number": "208-733-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-734-3455"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP710A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8072056",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twin Falls Imaging and Diagnostic Center
• Twin Falls Internal Medicine PLLC
• Twin Falls Kids Dental LLC (Childrens Dentistry of Twin Falls)
• Twin Falls of Cascadia, LLC (Twin Falls Transitional Care of Cascadia)
• Twin Falls Orthopedics LLC
• Twin Falls Orthopedics, PLLC
• Twin Falls Physical Therapy and Wellness Clinic
• Twin Falls School District #411
• Twin Falls Senior Living LLC (Heritage Assisted Living and Memory Care)
• TWR Services

• Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.