| Orthopedic Surgery And Sports | |
|
850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903 | |
| (208) 664-2175 | |
| (208) 664-1226 |
| Full Name | Orthopedic Surgery And Sports |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 850 W Ironwood Dr Ste 202, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083729438 | NPI | - | NPPES |
| Provider Name | Douglas P Mcinnis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326151150 PECOS PAC ID: 1355331356 Enrollment ID: I20040513000047 |
| Provider Name | Jason W Bruns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376580290 PECOS PAC ID: 3375591589 Enrollment ID: I20050121000286 |
| Provider Name | Jonathan S King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326034430 PECOS PAC ID: 6204800261 Enrollment ID: I20050912001254 |
| Provider Name | William F Sims |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720191554 PECOS PAC ID: 9638234362 Enrollment ID: I20090212000696 |
| Provider Name | Roger C Dunteman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740390137 PECOS PAC ID: 8527123777 Enrollment ID: I20090223000269 |
| Provider Name | Tyler M Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568599215 PECOS PAC ID: 5698828390 Enrollment ID: I20090728000645 |
| Provider Name | Brian Michael Scherr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750342143 PECOS PAC ID: 2567498926 Enrollment ID: I20091125000259 |
| Provider Name | Scott Andrew Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063635027 PECOS PAC ID: 2769535483 Enrollment ID: I20101210000086 |
| Provider Name | Chad Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487756227 PECOS PAC ID: 2264439215 Enrollment ID: I20110809000263 |
| Provider Name | Gregory R Keese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316137862 PECOS PAC ID: 6103996236 Enrollment ID: I20121119000172 |
| Provider Name | Derrick J Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114378957 PECOS PAC ID: 0648568733 Enrollment ID: I20161005000674 |
| Provider Name | Justin Luke Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396162178 PECOS PAC ID: 2668763368 Enrollment ID: I20200807002865 |
| Provider Name | Megan Christine Balogh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134711047 PECOS PAC ID: 8527474006 Enrollment ID: I20210308001992 |
| Provider Name | Kelly Ambrosch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790322436 PECOS PAC ID: 5395179527 Enrollment ID: I20211015002041 |
| Provider Name | Mark Stevens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003302688 PECOS PAC ID: 2163775941 Enrollment ID: I20220530000230 |
| Provider Name | Joshua George Stibb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689164402 PECOS PAC ID: 0244613206 Enrollment ID: I20220824001418 |
| Provider Name | Brianna Leigh Hettrich Downey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578291993 PECOS PAC ID: 8820473432 Enrollment ID: I20220919001351 |
| Provider Name | Jorge Luis Santiago |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114629318 PECOS PAC ID: 0547625758 Enrollment ID: I20230421002169 |
| Provider Name | David L Parker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639600174 PECOS PAC ID: 8022394311 Enrollment ID: I20230731003378 |
| Provider Name | Kathryn Clark Faulkner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497097836 PECOS PAC ID: 6002259405 Enrollment ID: I20240213000243 |
| Provider Name | Taylor Lee Kroll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154167443 PECOS PAC ID: 7719423110 Enrollment ID: I20240722002784 |
| Provider Name | Anthony Mcfadden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992535264 PECOS PAC ID: 3375083397 Enrollment ID: I20240913001982 |
| Provider Name | Madison Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417778291 PECOS PAC ID: 1557899358 Enrollment ID: I20250107003174 |
| Provider Name | Jacquelynne Rose Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982338885 PECOS PAC ID: 5698141075 Enrollment ID: I20250314000321 |
| Provider Name | Dawn M Higgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679892020 PECOS PAC ID: 3678607041 Enrollment ID: I20250501002108 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic Surgery And Sports 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814-4903 Ph: (208) 664-2175 | Orthopedic Surgery And Sports 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903 Ph: (208) 664-2175 |