Active NPI
Kym Orthopedics PLLC
- Orthopaedic Surgery Physician
- Lewiston, ID
National Provider Identifier
1881934404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881934404 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.