Anthony Maisin Buoncristiani, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ANTHONY MAISIN BUONCRISTIANI, MD

Practice address

660 2ND Ave S
Unit a
Ketchum, ID 83340

Phone

(208) 622-3312

Fax

(208) 622-4919

NPI assigned

Jul 18, 2006

Last updated

Apr 26, 2024By 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

Anthony M Buoncristiani, M.D.NPI 1841246279

Title

Physician

Phone

(208) 622-3312

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAWTOOTH ORTHOPEDIC AND SPORTS MEDICINE, P.C. Other name

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Practitioners 2

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.

• Anthony Maisin Buoncristiani, M.D.

  • Orthopaedic Surgery Physician
  • Ketchum, ID
  • NPI 1841246279

  Sports Medicine

  Medicare reassignment NPD Authorized official
• Del F J Pletcher, MD

  • Orthopaedic Surgery Physician
  • Ketchum, ID
  • NPI 1720029937
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1497774772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "SUN VALLEY",
            "state": "ID",
            "postal_code": "833531332",
            "telephone_number": "208-622-3312",
            "fax_number": "208-622-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 2ND AVE S",
            "address_2": "UNIT A",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-622-3312",
            "fax_number": "208-622-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY MAISIN BUONCRISTIANI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BUONCRISTIANI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-622-3312",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807513700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF6382",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAWTOOTH ORTHOPEDIC AND SPORTS MEDICINE, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Orthopaedics, P.a.
• Arvin Herbert Alexander, MD
• Charlotte E Alexander, MD
• Megan Allyn, LCPC
• Alpine Integrated Wellness PLLC (Alpine Integrative Wellness)
• Sarah Armstrong, DPT
• Erin R Barker, PA-C
• Jennifer Anne-Liebersbach Bertovich, DC
• Hadi Bhurgri, MD
• Blaine County (Blaine County Ambulance District)

• Orthopaedic Surgery Physician in Ketchum, ID
• Providers in Ketchum, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.