SAMUEL STEVEN JORGENSON (NPI# 1962447169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962447169 |
| Entity Type | Individual |
| Full Name | SAMUEL STEVEN JORGENSON |
| Credential | M.D. |
| Practice Address |
360 E Montvue Dr Suite 100 Meridian ID 83642-6318 |
| Practice Telephone | 2088552900 |
| Practice Fax Number | 2088989788 |
| Mailing Telephone | 2088552900 |
| Mailing Fax Number | 2088989788 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
M-8450 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
360 E MONTVUE DR SUITE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275578908 | Edwin Merle Clark | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-06-17 |
| 1952701401 | Southern Idaho Health Partners LLC | General Practice | 360 E Montvue Dr, Meridian, ID 83642-6318 | 2014-09-02 |
| 1033454426 | Sari Bianca Lavarias | Physician Assistant | 360 E Montvue Dr, Meridian, ID 83642-6318 | 2012-12-11 |
| 1477843811 | Tara Osborne | Physical Therapist | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2011-04-18 |
| 1386887032 | Michael Bryon Spackman | Physical Medicine & Rehabilitation | 360 E Montvue Dr, Suite 100, Meridian, ID 83642 | 2009-04-10 |
| 1770747404 | Christian Vanderford | Physical Therapist | 360 E Montvue Dr, Ste A, Meridian, ID 83642-6318 | 2008-07-11 |
| 1073776258 | Liang Wu | Internal Medicine | 360 E Montvue Dr, Meridian, ID 83642-6318 | 2008-07-08 |
| 1235338682 | Kelli Elizabeth Debooy | Physical Therapist | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2007-07-16 |
| 1689701260 | Shannon L Gardiner | Physician Assistant | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2007-02-28 |
| 1659380269 | Spine Institute of Idaho P A | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1659380269 | Spine Institute of Idaho P A | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-08-05 |
| 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 |
| 1922041961 | David M. Christensen | Orthopaedic Surgery | 1411 Falls Ave E, Suite 1301, Twin Falls, ID 83301-3455 | 2006-06-14 |
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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.