National Provider Identifier Database

SUN VALLEY SPORTS MEDICINE PA
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.


Contact Information

SUN VALLEY SPORTS MEDICINE, P.A.
191 5TH ST W
KETCHUM, ID83340
Phone: 208-726-5207
Fax: 208-726-8948
Website:
Specialty Taxonomy Code
* Orthopaedic Surgery 207X00000X
Sports Medicine 207XX0005X

* Indicates primary specialty

NPI Profile & details for SUN VALLEY SPORTS MEDICINE, P.A.

NPI Number 1124061163
Legal business name
LBN
SUN VALLEY SPORTS MEDICINE, P.A.
Authorized official STEPHEN WASILWESKI - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 805960600
  • ID Other: 200015728 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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