Individual provider Active NPI

Joseph M Verska, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boise, ID
National Provider Identifier
1699710541
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
M-6730 Issued in ID
Practice address
8756 W. Emerald St.
Suite 176
Boise, ID 83704-4834
Phone
(208) 378-7700
Fax
(208) 378-7701
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X M-6730 ID Primary

Addresses

Primary practice location

8756 W. Emerald St.
Suite 176
Boise, ID 83704-4834

Mailing address

8756 W. Emerald St.
Suite 176
Boise, ID 83704-4834
Phone (208) 378-7700

Other identifiers 2

IdentifierTypeStateIssuer
2754500MedicaidID
002754500MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-6730IDMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1699710541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8756 W. EMERALD ST.",
            "address_2": "SUITE 176",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044834",
            "telephone_number": "208-378-7700",
            "fax_number": "208-378-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 W. EMERALD ST.",
            "address_2": "SUITE 176",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044834",
            "telephone_number": "208-378-7700",
            "fax_number": "208-378-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSKA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "ID",
            "license": "M-6730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2754500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002754500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.