NPI age
19 years
Enumerated 2006-11-01
● Active Type 2 · Organization
Idaho Orthopaedics And Sports Clinic
Idaho Orthopaedics And Sports Clinic is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hall
Administrator
Last NPPES update
2014-07-10
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
560 Memorial Dr
Pocatello, ID 832014073
Mailing address
560 Memorial Dr
Pocatello, ID 832014073
Authorized official
Ryan Hall
Administrator
📞 2082341960
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Kobi Alcocer Specialist/Technologist NPI 1952014714
- Douglas Ashton, ATC Specialist/Technologist NPI 1780963108
- Steve Coker, MD Orthopaedic Surgery NPI 1942294624
- Frank Dimick, ATC, LAT, LPTA Physical Therapy Assistant NPI 1366470031
- Derek Eddie, PA-C Physician Assistant NPI 1346375367
- McKenzie Jemmett, SLP Speech-Language Pathologist NPI 1194109223
- Steven Nelson, PA-C Physician Assistant NPI 1659689362
- Kenneth Newhouse, MD Orthopaedic Surgery NPI 1265425789
- Edward Schwarze, MPT Physical Therapist NPI 1083788764
- Shayna Waldron, SLP Speech-Language Pathologist NPI 1952785172
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.