Lewis & Clark Orthopaedic Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LEWIS & CLARK ORTHOPAEDIC INSTITUTE LLC

Practice address

318 Warner Dr
Lewiston, ID 83501-4441

Phone

(208) 298-1050

Fax

(208) 298-1060

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Riley Orr

Title

Coo

Phone

(615) 314-1406

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Lewis and Clark Orthopaedic Institute LLCCCN 13C0001050

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404

  Member Of

  NPD member

Locations

Practitioners 2

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

• Brianne Bender

  • Orthopedic Registered Nurse
  • Lewiston, ID
  • NPI 1417327214
  NPD
• John Adam Jelinek, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lewiston, ID
  • NPI 1568410025
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1922093293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-298-1050",
            "fax_number": "208-298-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-298-1050",
            "fax_number": "208-298-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & CLARK ORTHOPAEDIC INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-314-1406"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "611193000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806919700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "04606",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WLI",
            "identifier": "0198920",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WWL",
            "identifier": "7124381",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "3570555",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBS",
            "identifier": "000010146573",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Grant Leavitt, DMD
• Nathan Erin Leavitt, DDS
• Christopher J Lee, P.T.
• Rebecca Lehman, LMSW
• Richard Scott Leon, MD
• Lewis Clark Endoscopy, PLLC
• Lewis Clark Gastroenterology PLLC
• Lewis Clark Imaging, LLC
• Lewis Clark Kidney Center LLC
• Lewis Clark State College

• Ambulatory Surgical Clinic/Center in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.