JOHN ADAM JELINEK (NPI# 1568410025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568410025 |
| Entity Type | Individual |
| Full Name | JOHN ADAM JELINEK |
| Other Name | ADAM JELINEK |
| Credential | MD |
| Practice Address |
320 Warner Dr Lewiston ID 83501-4441 |
| Practice Telephone | 2087433523 |
| Practice Fax Number | 2087468741 |
| Mailing Telephone | 2087433523 |
| Mailing Fax Number | 2087468741 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD 60001068 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M-10275 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA DEPT OF LABOR & INDUSTRIES | 238312 | 01 |
| ID | 808097200 | 05 | |
| WA | 8517518 | 05 | |
| ID | BLUE CROSS OF ID | 77378 | 01 |
| Street Address |
320 WARNER DR |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659866 | Steven Randolph Boyea | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2005-09-13 |
| 1912517350 | Caleb H Netting | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2020-07-31 |
| 1851871172 | Russell L Evans | Radiology | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-08-16 |
| 1306343728 | Alexis Zander | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-04-11 |
| 1023545373 | Catalyst Medical Group, Pllc | Durable Medical Equipment & Medical Supplies | 320 Warner Dr, Lewiston, ID 83501 | 2017-05-17 |
| 1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
| 1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
| 1265674071 | Dewayne Lynn Weaver | Orthopaedic Surgery | 320 Warner Dr, Lewiston, ID 83501-4441 | 2009-03-26 |
| 1083770192 | Gregory Robert Obray | Physician Assistant | 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 | 2006-12-31 |
| 1215095252 | Lewiston Orthopaedic Associates Pa | Clinic/Center | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399517 | Delaney Bergen | Orthopaedic Surgery | 738 N College Rd Ste C, Twin Falls, ID 83301-3387 | 2020-08-31 |
| 1164597431 | Douglas Alan Cipriano | Orthopaedic Surgery | 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864-1689 | 2006-11-22 |
| 1558375568 | Joseph R Liljenquist | Orthopaedic Surgery | 3405 Merlin Drive, Idaho Falls, ID 83404 | 2006-07-27 |
| 1124061163 | Sun Valley Sports Medicine, P.a. | Orthopaedic Surgery | 191 5th St W, Ketchum, ID 83340 | 2006-06-14 |
| 1568443158 | Paul Calvin Collins | Orthopaedic Surgery | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2005-11-10 |
| 1063418903 | George A. Wade | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-24 |
| 1306842182 | Michael J Gustavel | Orthopaedic Surgery | 1702 W Fairview Ave, Boise, ID 83702-5121 | 2005-06-24 |
| 1861961732 | Gustavel Orthopedics Pllc | Orthopaedic Surgery | 1702 W Fairview Ave, Boise, ID 83702-5121 | 2018-11-20 |
| 1114445087 | Bmh Inc. | Orthopaedic Surgery | 560 Memorial Dr, Pocatello, ID 83201-4070 | 2017-08-31 |
| 1982060984 | Bonner General Hospital, Inc | Orthopaedic Surgery | 606 N 3rd Ave, Ste 201, Sandpoint, ID 83864-1594 | 2016-01-06 |
| 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.