INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC (NPI# 1821036724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821036724 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC |
| Practice Address |
1411 Falls Ave E Suite 1301 Twin Falls ID 83301-3455 |
| Mailing Address |
1411 Falls Ave E Ste 1301 Twin Falls ID 83301-3467 |
| Practice Telephone | 2087320067 |
| Practice Fax Number | 2087323195 |
| Mailing Telephone | 2087320067 |
| Mailing Fax Number | 2087323195 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | DAVID M CHRISTENSEN (OWNER) |
| Authorized Official Telephone | 2087320067 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 8J828 | 01 |
| ID | RR MEDICARE | DC8006 | 01 |
| ID | BLUE SHIELD | 000010148684 | 01 |
| ID | 807012500 | 05 |
| Street Address |
1411 FALLS AVE E SUITE 1301 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144509084 | Ford Family Eye Care, P.C. | Optometrist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-08-09 |
| 1215233952 | David Tyler Billings | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-27 |
| 1427354257 | Michael William Sprague | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-26 |
| 1659682912 | Joshua Alan Jenkins | Dentist | 1411 Falls Ave E, #1000c, Twin Falls, ID 83301-3455 | 2010-07-01 |
| 1780813691 | Trent Pryor | Dentist | 1411 Falls Ave E, Suite 1000c, Twin Falls, ID 83301-3455 | 2009-07-13 |
| 1922279785 | Wright Physical Therapy, LLC | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2008-03-19 |
| 1417162728 | Inclusion South, Inc | Nursing Care | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-11 |
| 1285855759 | Inclusion South, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-01 |
| 1063635696 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| 1972726503 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| 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 |
|---|---|---|---|---|
| 1922041961 | David M. Christensen | Orthopaedic Surgery | 1411 Falls Ave E, Suite 1301, Twin Falls, ID 83301-3455 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083998827 | Boise Spine Surgery P.a. | Orthopaedic Surgery | 8756 W. Emerald Street, Suite 176, Boise, ID 83704-4834 | 2011-09-28 |
| 1316029176 | Lynn J Stromberg | Orthopaedic Surgery | 2355 Coronado, Idaho Falls, ID 83404 | 2006-10-20 |
| 1396827150 | Mark A Weight | Orthopaedic Surgery | 2355 Coronado St, Idaho Falls, ID 83404-7407 | 2006-10-20 |
| 1699710541 | Joseph M Verska | Orthopaedic Surgery | 8756 W. Emerald St., Suite 176, Boise, ID 83704-4834 | 2006-06-17 |
| 1124060983 | Verst Spine & Orthopedic Care,pllc | Orthopaedic Surgery | 15 West Galena St, Hailey, ID 83333 | 2006-06-12 |
| 1306831698 | Gregory Dean Dietrich | Orthopaedic Surgery | 320 Warner Drive, Lewiston, ID 83501 | 2005-09-13 |
| 1104489376 | Spine Cin of Boise, LLC | Orthopaedic Surgery | 800 W Main St Ste 1460-10, Boise, ID 83702-5945 | 2019-04-15 |
| 1871850727 | Daniel John Blizzard | Orthopaedic Surgery | 1641 E Polston Ave Ste 101, Post Falls, ID 83854-7852 | 2012-04-17 |
| 1023029840 | Howard A King | Orthopaedic Surgery | 600 N Robbins Rd, Ste 100, Boise, ID 83702-4566 | 2006-08-10 |
| 1659380269 | Spine Institute of Idaho P A | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC.
| 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.