Shoulder & Knee Center, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M8490 Issued in ID

Legal business name

SHOULDER & KNEE CENTER, PA

Practice address

2035 E 17TH St
Idaho Falls, ID 83404-6430

Phone

(208) 524-5633

Fax

(208) 524-1045

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Andary, M.D.NPI 1629060280

Title

Owner

Phone

(208) 524-5633

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• John L Andary, M.D.

  • Orthopaedic Surgery Physician
  • Idaho Falls, ID
  • NPI 1629060280
  NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1831368752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046430",
            "telephone_number": "208-524-5633",
            "fax_number": "208-524-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046430",
            "telephone_number": "208-524-5633",
            "fax_number": "208-524-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOULDER & KNEE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "ANDARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M8490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00020270",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806411300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010139745",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rati Shirodkar
• Owen M Shirts, O.D.
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Stacy Short, PHARMD
• Jackson Clay Shubin, D.C.
• Shon Lorin Shuldberg, LCSW
• Christian T Shull, M.D.
• Braiden R Shumway, DO
• A Shuravloff, DO

• Orthopaedic Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.