Intermountain Spine and Orthopedics, PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC

Practice address

1411 Falls Ave E
Suite 1301
Twin Falls, ID 83301-3455

Phone

(208) 732-0067

Fax

(208) 732-3195

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

David M Christensen, MD

Title

Owner

Phone

(208) 732-0067

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7955/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Keith Bizik, P.A.

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1932166956
  NPD (past)
• Brian James Tureman, PA

  • Surgical Physician Assistant
  • Twin Falls, ID
  • NPI 1790724680
  NPD (past)
• Mark B Wright, M.D.

  • Orthopaedic Surgery Physician
  • Twin Falls, ID
  • NPI 1295778223
  NPD (past)
• Paula M Gates, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
  • NPI 1669567525
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1821036724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 1301",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013467",
            "telephone_number": "208-732-0067",
            "fax_number": "208-732-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E",
            "address_2": "SUITE 1301",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-732-0067",
            "fax_number": "208-732-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-732-0067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010148684",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC8006",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J828",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807012500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inclusion South, Inc.
• Infused Health LLC
• Innovative Family Medicine of Idaho PLLC
• Innovative Medical Imaging, PLLC
• Inspiring Independence PLLC
• Intra-Operative Monitoring Innovations
• Cristina Ionescu, NP
• Joseph W Ippolito Jr., M.D.
• Chelsea Ann Irish
• Bernardo Isuani, MD

• All providers in Twin Falls, ID
• Orthopaedic Surgery of the Spine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.