Organization Active NPI

Boost Orthopedics and Sports Medicine Consulting

  • Orthopaedic Surgery Physician
  • Ketchum, ID
National Provider Identifier
1386246122
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BOOST ORTHOPEDICS AND SPORTS MEDICINE CONSULTING
Practice address
241 Skiway Drive
Ketchum, ID 83340-8334
Phone
(541) 410-5081
Fax
(208) 203-1893
NPI assigned
Nov 16, 2020
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Dr. Cara Walther, MDNPI 1689630816
Title
Ceo
Phone
(541) 410-5081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

241 Skiway Drive
Ketchum, ID 83340-8334

Mailing address

PO Box 1236
Ketchum, ID 83340-1231
Phone (541) 410-5081

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1386246122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833401231",
            "telephone_number": "541-410-5081",
            "fax_number": "208-203-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SKIWAY DRIVE",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833408334",
            "telephone_number": "541-410-5081",
            "fax_number": "208-203-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST ORTHOPEDICS AND SPORTS MEDICINE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-410-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2021; 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.