BONNER GENERAL HOSPITAL, INC (NPI# 1982060984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982060984 |
| Entity Type | Organization |
| Organization Name | BONNER GENERAL HOSPITAL, INC |
| Other Organization Name | BONNER GENERAL ORTHOPEDICS |
| Practice Address |
606 N 3rd Ave Ste 201 Sandpoint ID 83864-1594 |
| Practice Telephone | 2082638597 |
| Practice Fax Number | 2082650667 |
| Mailing Telephone | 2082638597 |
| Mailing Fax Number | 2082650667 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | SHERYL RICKARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2082631441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bonner General Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1982112660 | Bonner General Hospital, Inc | Psychologist | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2018-01-17 |
| 1558582429 | Bonner General Hospital, Inc | General Acute Care Hospital | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2007-05-01 |
| Street Address |
606 N 3RD AVE STE 201 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452049 | Jeremy J Waters | Family Medicine | 606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594 | 2006-01-26 |
| 1366756868 | Providence Health & Services | Internal Medicine | 606 N 3rd Ave, 606 N 3, Sandpoint, ID 83864-1691 | 2010-07-27 |
| 1770896607 | Providence Health & Services - Washington | Internal Medicine | 606 N 3rd Ave, Suite 203, Sandpoint, ID 83864-1691 | 2010-07-20 |
| 1093039257 | Alina Niculaescu | Physician Assistant | 606 N 3rd Ave, Suite 201, Sandpoint, ID 83864-1594 | 2010-03-17 |
| 1477885598 | Christina Jane Baker | Counselor | 606 N 3rd Ave, Suite 102, Sandpoint, ID 83864-1594 | 2010-02-01 |
| 1164514246 | Jerald F Baker | Specialist | 606 N 3rd Ave, Ste. 102, Sandpoint, ID 83864-1594 | 2006-09-28 |
| 1881613321 | Sandpoint Family Health Center, Pllc | Clinic/Center | 606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594 | 2006-07-18 |
| 1992751648 | Ronald D Jenkins | Internal Medicine | 606 N 3rd Ave, Suite 203, Sandpoint, ID 83864-1570 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| 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 |
|---|---|---|---|---|
| 1164597431 | Douglas Alan Cipriano | Orthopaedic Surgery | 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864-1689 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399517 | Delaney Bergen | Orthopaedic Surgery | 738 N College Rd Ste C, Twin Falls, ID 83301-3387 | 2020-08-31 |
| 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 |
| 1477965952 | Gregory M. Ford, Md Pllc | Orthopaedic Surgery | 950 Hospital Way, Ste A, Pocatello, ID 83201-2789 | 2014-06-02 |
| 1932532686 | Jason P Richards Md Pllc | Orthopaedic Surgery | 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 | 2013-08-16 |
| 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.