P Praxis·MD
● Active Type 2 · Organization

Sun Valley Sports Medicine, P.A.

Orthopaedic Surgery·Ketchum, ID· NPI 1124061163 · Enumerated 2006 · 19 years on NPI
Sun Valley Sports Medicine, P.A. is 1 of 239 orthopaedic surgery organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-14
Primary specialty
Orthopaedic Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wasilweski
Physician
Last NPPES update
2008-06-17
Source: monthly bulk 2026-05

How this organization compares

Across 239 active orthopaedic surgery providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 45% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
191 5th St W
Ketchum, ID 83340
📞 2087265207fax 2087268948
Mailing address
191 5th St W
Ketchum, ID 83340
📞 2087265207fax 2087268948

Authorized official

Stephen Wasilweski, M.D.
Physician
📞 2087265207

Specialties

  • Orthopaedic Surgery Primary
    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...
    taxonomy 207X00000X
  • Orthopaedic Surgery
    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...
    taxonomy 207XX0005X

Identifiers

TypeValueNotes
01 (ID) 200015728 RR MEDICARE
05 (ID) 805960600

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 239 Orthopaedic Surgery providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related