NPIMap

Organization Active NPI

Lyman Orthopedics PLLC

Doing business as The Lyman Knee Clinic

  • Orthopaedic Surgery Physician
  • Coeur d'Alene, ID
National Provider Identifier
1508168139
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M10680 Issued in ID
Legal business name
LYMAN ORTHOPEDICS PLLC
Doing business as
The Lyman Knee Clinic
Practice address
1875 N Lakewood Dr
Suite 200
Coeur D Alene, ID 83814-4928
Phone
(208) 758-0716
Fax
(208) 667-7717
NPI assigned
Dec 2, 2010
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Kerstin Mueller
Title
Practice Administrator
Phone
(208) 758-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X M10680 ID Primary

Addresses

Primary practice location

1875 N Lakewood Dr
Suite 200
Coeur D Alene, ID 83814-4928

Mailing address

1875 N Lakewood Dr
Suite 200
Coeur D Alene, ID 83814-4928
Phone (208) 758-0716

Other names 1

  • The Lyman Knee Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

420 N Second Ave
Sandpoint, ID 83864
Phone (208) 263-2173

Practitioners & affiliated clinicians

Practitioners 3

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": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1508168139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR",
            "address_2": "SUITE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928",
            "telephone_number": "208-758-0716",
            "fax_number": "208-667-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR",
            "address_2": "SUITE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928",
            "telephone_number": "208-758-0716",
            "fax_number": "208-667-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMAN ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KERSTIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-758-0719"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M10680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lyman Knee Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.