Organization Active NPI

Idaho Arthritis & Osteoporosis Center PC

Doing business as Idaho Arthritis Center

  • Legal Medicine
  • Meridian, ID
National Provider Identifier
1770539298
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
IDAHO ARTHRITIS & OSTEOPOROSIS CENTER PC
Doing business as
Idaho Arthritis Center
Practice address
3277 E Louise Dr
Suite 350
Meridian, ID 83642-9359
Phone
(208) 887-9500
Fax
(208) 887-9800
NPI assigned
May 26, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Mikael D Lagwinski, M.D.NPI 1679540363
Title
Vice President
Phone
(208) 887-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

3277 E Louise Dr
Suite 350
Meridian, ID 83642-9359

Mailing address

3277 E Louise Dr
Suite 350
Meridian, ID 83642-9359
Phone (208) 887-9500

Other names 1

  • Idaho Arthritis Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000249 ID Part B Supplier - Clinic/Group Practice 2769495464 Receives reassigned benefits from 13 practitioners
Practice locations: Boise, ID; Caldwell, ID; Meridian, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0973522Idaho Arthritis Center3277 E Louise Dr Ste 350, Meridian, ID 83642AccreditationJan 12, 2027

National Provider Directory

National Provider Directory

Locations

1818 S 10th Ave
Ste 120
Caldwell, ID 83605
Phone (208) 468-5959

1906 Fairview Ave
Ste 220
Caldwell, ID 83605
Phone (208) 795-5072

3277 E Louise Dr
Ste 350
Meridian, ID 83642
Phone (208) 887-9500

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1770539298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR",
            "address_2": "SUITE 350",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429359",
            "telephone_number": "208-887-9500",
            "fax_number": "208-887-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR",
            "address_2": "SUITE 350",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429359",
            "telephone_number": "208-887-9500",
            "fax_number": "208-887-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ARTHRITIS & OSTEOPOROSIS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "LAGWINSKI",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-887-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Arthritis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.