Active NPI
Boost Orthopedics and Sports Medicine Consulting
- Orthopaedic Surgery Physician
- Ketchum, ID
National Provider Identifier
1386246122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2021
- 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. Cara Walther, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Orthopaedic Surgery Physician
- Ketchum, ID
- NPI 1689630816
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.