DALLCO ORTHOPAEDICS & SPORTS MEDICINE (NPI# 1578955621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578955621 |
| Entity Type | Organization |
| Organization Name | DALLCO ORTHOPAEDICS & SPORTS MEDICINE |
| Practice Address |
3300 Washington Pkwy Idaho Falls ID 83404-7592 |
| Practice Telephone | 2085226662 |
| Practice Fax Number | 2085220880 |
| Mailing Telephone | 2085226662 |
| Mailing Fax Number | 2085220880 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | DR. JASON GLENN DALLING (ATTENDING ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 2085226662 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
3300 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306874763 | Gregory Edwin Biddulph | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2006-06-28 |
| 1528683059 | Mennear Orthopedics LLC | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2020-06-10 |
| 1336540020 | Biddulphandhuntsmanorthopedics Pllc | Specialist | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2014-09-12 |
| 1992067722 | Brandon David Mennear | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404 | 2012-06-07 |
| 1689896433 | Jason Dalling | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2007-05-02 |
| 1760520951 | Gregory E Biddulph Orthopedics | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2007-02-01 |
| 1811035090 | Huntsman Orthopaedic Surgery & Sports Medicinepa | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306874763 | Gregory Edwin Biddulph | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2006-06-28 |
| 1689896433 | Jason Dalling | Orthopaedic Surgery | 3300 Washington Pkwy, Idaho Falls, ID 83404-7592 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215948104 | Colin E Poole | Orthopaedic Surgery | 600 N Robbins Rd, Ste 100, Boise, ID 83702-4566 | 2006-08-10 |
| 1679584577 | Dennis R Mcgee | Orthopaedic Surgery | 6165 W Emerald Street, Boise, ID 83704-8613 | 2006-08-10 |
| 1386616183 | Keith G Holley | Orthopaedic Surgery | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687 | 2006-02-06 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DALLCO ORTHOPAEDICS & SPORTS MEDICINE.
| 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.