MARK A SPELICH MD PC (NPI# 1346375417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346375417 |
| Entity Type | Organization |
| Organization Name | MARK A SPELICH MD PC |
| Practice Address |
6590 W Norwood Dr Boise ID 83704 |
| Practice Telephone | 2088552410 |
| Practice Fax Number | 2088550157 |
| Mailing Telephone | 2088552410 |
| Mailing Fax Number | 2088550157 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MRS. LORI J SARICH (OFFICE MANAGER) |
| Authorized Official Telephone | 2088552410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M9278 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD # | 000010151179 | 01 |
| ID | 807210200 | 05 | |
| ID | BLUE CROSS OF IDAHO # | 74880 | 01 |
| Street Address |
6590 W NORWOOD DR |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487799813 | Roman Schwartsman Md PC | Orthopaedic Surgery | 6590 W Norwood Dr, Boise, ID 83704 | 2007-02-21 |
| 1942590914 | Daniel T Whitted | Physician Assistant | 6590 W Norwood Dr, Boise, ID 83704-8765 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1164657854 | James Thomas Beckmann | Orthopaedic Surgery | 1109 W. Myrtle St. Suite 200, St. Luke's Hospital System, Boise, ID 83702 | 2009-05-25 |
| 1326289364 | Steven B Daines | Orthopaedic Surgery | 6165 W Emerald, Boise, ID 83704-8613 | 2009-03-22 |
| 1336392448 | Intermountain Orthopaedic Pllc | Orthopaedic Surgery | 600 N. Robbins Rd, Ste 401, Boise, ID 83702-4539 | 2008-11-03 |
| 1801010541 | Jason F Robison | Orthopaedic Surgery | 600 N Robbins Road, Suite 100, Boise, ID 83702 | 2007-04-12 |
| 1487799813 | Roman Schwartsman Md PC | Orthopaedic Surgery | 6590 W Norwood Dr, Boise, ID 83704 | 2007-02-21 |
| 1992817167 | Tom Faciszewski | Orthopaedic Surgery | 4850 N Rosepoint Way, Suite 100, Boise, ID 83713-5262 | 2006-08-31 |
| 1205944303 | Joseph Randall Lynch | Orthopaedic Surgery | 8854 W Emerald St Ste 102, Boise, ID 83704-4845 | 2006-08-28 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.