Organization Active NPI

Kym Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Lewiston, ID
National Provider Identifier
1881934404
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
KYM ORTHOPEDICS PLLC
Practice address
3316 4TH St #4B
Lewiston, ID 83501-4405
Phone
(208) 746-2663
Fax
(208) 746-3390
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Marvin R Kym, MD
Title
Owner
Phone
(208) 746-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3316 4TH St #4B
Lewiston, ID 83501-4405

Mailing address

3316 4TH St #4B
Lewiston, ID 83501-4405
Phone (208) 746-2663

Other identifiers 1

IdentifierTypeStateIssuer
1881934404MedicaidID

National Provider Directory

National Provider Directory

Locations

3316 4th St
#4B
Lewiston, ID 83501
Phone (208) 746-2663

3316 4th St
Ste 4B
Lewiston, ID 83501
Phone (208) 746-2663

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1881934404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 4TH ST #4B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014405",
            "telephone_number": "208-746-2663",
            "fax_number": "208-746-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 4TH ST #4B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014405",
            "telephone_number": "208-746-2663",
            "fax_number": "208-746-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYM ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "KYM",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-746-2663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881934404",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.