Active NPI
Intermountain Orthopaedics Specialists
- Orthopaedic Surgery Physician
- Boise, ID
National Provider Identifier
1902913379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- INTERMOUNTAIN ORTHOPAEDICS SPECIALISTS
- Practice address
- 600 N Robbins Rd
Ste 100
Boise, ID 83702-4539 - Phone
- (208) 383-0201
- Fax
- (208) 489-4300
- NPI assigned
- Aug 23, 2006
- 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
- Mr. Scott R Brown
- Title
- Administrator
- Phone
- (208) 489-4229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
600 N Robbins Rd
Ste 100
Boise, ID 83702-4539
Mailing address
600 N Robbins Rd
Ste 401
Boise, ID 83702-4539
Phone (208) 383-0201
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88815 | Other | ID | BLUE CROSS OF IDAHO |
| 805467800 | Medicaid | ID | |
| CN7062 | Other | ID | MEDICARE RAILROAD |
| 000010006178 | Other | ID | BLUE SHIELD |
| 002683100 | Medicaid | ID | |
| CK7632 | Other | ID | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Boise, ID
- NPI 1932124864
-
- Hand Physical Therapist
- Boise, ID
- NPI 1104838325
-
- Physical Therapist
- Nampa, ID
- NPI 1952379661
-
- Physician Assistant
- Meridian, ID
- NPI 1851469050
-
- Sports Medicine (Family Medicine) Physician
- Boise, ID
- NPI 1477581122
-
- Hand Occupational Therapist
- Raytown, MO
- NPI 1255423075
-
- Physician Assistant
- Stanford, CA
- NPI 1073797395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1902913379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 401",
"city": "BOISE",
"state": "ID",
"postal_code": "837024539",
"telephone_number": "208-383-0201",
"fax_number": "208-489-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024539",
"telephone_number": "208-383-0201",
"fax_number": "208-489-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERMOUNTAIN ORTHOPAEDICS SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-489-4229",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "88815",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805467800",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CN7062",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010006178",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002683100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CK7632",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
- Intermountain Hand Clinic PA
- Intermountain Medical Imaging LLC
- Intermountain Ocular Prosthetics, Inc.
- Intermountain Ocular Prosthetics, Inc.
- Intermountain Orthopaedic PLLC
- Intermountain Surgery Center
- Intermountian Pediatric Clinic PA
- International Rescue Committee, Inc.
- Introspective Counseling & Consulting LLC
- Crystal Ipsen, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.