Idaho Joint and Spine, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

O-0794 Issued in ID

Legal business name

IDAHO JOINT AND SPINE, PC

Practice address

9510 W Fairview Ave
Boise, ID 83704-8103

Phone

(208) 322-5922

Fax

(208) 323-1386

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

James Aroet Whitaker, D.O.NPI 1750692562

Title

President

Phone

(208) 322-5922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Aroet Whitaker, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Boise, ID
  • NPI 1750692562
  NPD (past) Authorized official

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1891104014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048103",
            "telephone_number": "208-322-5922",
            "fax_number": "208-323-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048103",
            "telephone_number": "208-322-5922",
            "fax_number": "208-323-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO JOINT AND SPINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AROET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-322-5922",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "O-0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Health Screenings & Vaccinations
• Idaho Heart Care
• Idaho Institute of Gender and Sex Therapy
• Idaho Interventional Pain Center
• Idaho Joint and Spine LLC
• Idaho Memory & Aging Center PLLC
• Idaho Naturopathic Medicine, LLC
• Idaho Nephrology Associates, L.L.C
• Idaho Neurological Surgery, P.a.
• Idaho Neurology PLLC

• Medical Specialty Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.