NPIMap

Organization Active NPI

Adam J Olscamp MD PC

Doing business as Orthopedic Sports Institute

  • Durable Medical Equipment & Medical Supplies
  • Hayden, ID
National Provider Identifier
1396514931
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADAM J OLSCAMP MD PC
Doing business as
Orthopedic Sports Institute
Practice address
8552 N Government Way
Hayden, ID 83835-9280
Phone
(208) 457-4211
Fax
(208) 773-1473
NPI assigned
Dec 22, 2023
Last updated
Nov 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAM J OLSCAMP MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Authorized official

Name
Dr. Adam James Olscamp, MDNPI 1619080439
Title
W2 Managing Employee
Phone
(208) 457-4211

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8552 N Government Way
Hayden, ID 83835-9280

Mailing address

1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone (208) 457-4211

Other names 1

  • Orthopedic Sports Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708003467 ID DME Supplier - Multi-Specialty - Physician 4284947334 Practice locations: Hayden, ID

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Adam J Olscamp MD PC

Locations

1233 N Northwood Center Ct
Ste 101
Coeur D Alene, ID 83814
Phone (208) 215-2450

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1396514931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N NORTHWOOD CENTER CT STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146190",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359280",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM J OLSCAMP MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAM J OLSCAMP MD PC",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "OLSCAMP",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "W2 MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "208-457-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.