Individual provider Active NPI

Pamela Schudar-Svec, DC

  • Chiropractor
  • Bonners Ferry, ID
National Provider Identifier
1619021441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1072 Issued in ID
Practice address
6514 Main St
Bonners Ferry, ID 83805-8521
Phone
(208) 267-7355
Fax
(208) 267-7355
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1072 ID Primary

Addresses

Primary practice location

6514 Main St
Bonners Ferry, ID 83805-8521

Mailing address

6514 Main St
Bonners Ferry, ID 83805-8521
Phone (208) 267-7355

Other identifiers 2

IdentifierTypeStateIssuer
000010150766OtherIDBLUE SHIELD OF IDAHO
C5649OtherIDBLUE CROSS OF IDAHO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000154 ID Practitioner - Chiropractic 3971517673 Reassigns benefits to 2 organizations
Practice locations: Bonners Ferry, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6514 Main St
Bonners Ferry, ID 83805-8521
Phone (208) 267-7355

6910 Main St
Bonners Ferry, ID 83805-8521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1072IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Tribe of Idaho CurrentSince Dec 7, 2022 Accepting new patients
Pamela Schudar Svec Inc CurrentSince Sep 3, 2025 Accepting new patients

Locations

6514 Main St
Bonners Ferry, ID 83805
Phone (208) 267-7355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619021441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058521",
            "telephone_number": "208-267-7355",
            "fax_number": "208-267-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058521",
            "telephone_number": "208-267-7355",
            "fax_number": "208-267-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUDAR-SVEC",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010150766",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C5649",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.