RIVERSIDE ORTHOPEDIC CLINIC (NPI# 1417326968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417326968 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE ORTHOPEDIC CLINIC |
| Practice Address |
910 Nw 16th St #205 Fruitland ID 83619-2265 |
| Practice Telephone | 2084523111 |
| Practice Fax Number | 2084523666 |
| Mailing Telephone | 2084523111 |
| Mailing Fax Number | 2084523666 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | JENNIFER WHITE (OFFICE MANAGER) |
| Authorized Official Telephone | 2084523111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | M-10864 | ID | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | M-10556 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
910 NW 16TH ST #205 |
| City | FRUITLAND |
| State | ID |
| Zip Code | 83619-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285723460 | Kurt E Kracaw | Family Medicine | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2006-10-12 |
| 1609418722 | Jeanette Hazel Marie Reiners | Nurse Practitioner | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2019-10-09 |
| 1013493576 | Katlin Nicole Burchard | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2018-07-17 |
| 1447782529 | Kourtney Holder | Nurse Practitioner | 910 Nw 16th St, Ste 101, Fruitland, ID 83619 | 2017-03-29 |
| 1215479019 | Samantha Paterson | Physician Assistant | 910 Nw 16th St, Suite 205, Fruitland, ID 83619-2265 | 2016-11-09 |
| 1720438864 | Ashley Marshall | Physical Therapist | 910 Nw 16th St, Suite 200, Fruitland, ID 83619-2265 | 2016-06-20 |
| 1396106928 | Jordan Elise Finnegan | Physician Assistant | 910 Nw 16th St, Ste 101, Fruitland, ID 83619-2265 | 2016-03-09 |
| 1336535178 | Lisa Marie Tovar | Social Worker | 910 Nw 16th St, Fruitland, ID 83619-2265 | 2015-04-08 |
| 1760823397 | Saint Alphonsus Medical Center-ontario, Inc | Clinic/Center | 910 Nw 16th St, Ste 101, Fruitland, ID 83619-2265 | 2013-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1154563948 | Becky Jean Wolery | Social Worker | 910 Nw 16th St Ste 101, Fruitland, ID 83619 | 2009-03-25 |
| 1740426196 | John Wesley Linhart | Physical Therapist | 1116 Nw 16th Street, Fruitland, ID 83619 | 2009-01-06 |
| 1528263670 | Snake River Dermatology, Pa | Dermatology | 1611 N Whitley Dr, #7, Fruitland, ID 83619 | 2007-06-19 |
| 1568591204 | John Linton Close | Registered Nurse | 1509 N Whitley Drive, Suite 5, Fruitland, ID 83619 | 2007-03-05 |
| 1629110671 | Payette School Dist #373 | Local Education Agency (LEA) | 303 Sw 3rd Street, Fruitland, ID 83619 | 2007-02-13 |
| 1912075839 | William Frederick Martsch | Dentist | 315 N. Whitley, Fruitland, ID 83619 | 2006-11-30 |
| 1992880132 | Ryan David Hillam | Dentist | 1820 N.whitley Drive, Fruitland, ID 83619 | 2006-10-26 |
| Find all providers in zip 83619 | ||||
| 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 |
|---|---|---|---|---|
| 1154310597 | John D Foote | Orthopaedic Surgery | 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 | 2005-10-18 |
| 1306834643 | Jan Olof Dahlin | Orthopaedic Surgery | 1118 Nw 16th St, Suite C, Fruitland, ID 83619-2271 | 2005-10-11 |
| 1710975057 | Fruitland Orthopedic Clinic | Orthopaedic Surgery | 1118 Nw 16th St, Suite C, Fruitland, ID 83619-2271 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1053779264 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2016-02-02 |
| 1841611027 | Christopher Frederic Jessen | Orthopaedic Surgery | 5475 E Shoreline Dr, Post Falls, ID 83854-6858 | 2013-12-14 |
| 1881934404 | Kym Orthopedics Pllc | Orthopaedic Surgery | 3316 4th St #4b, Lewiston, ID 83501-4405 | 2013-02-19 |
| 1891056826 | Jonathan Klaucke | Orthopaedic Surgery | 606 N Third Ave Ste 201, Sandpoint, ID 83864 | 2012-06-06 |
| 1508168139 | Lyman Orthopedics Pllc | Orthopaedic Surgery | 1875 N Lakewood Dr, Suite 200, Coeur D Alene, ID 83814-4928 | 2010-12-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1700114725 | David Louis Schenkar | Orthopaedic Surgery | 110 E Gulch Rd, Hailey, ID 83333-8496 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
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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.