Shoulder & Knee Center, Pa in Idaho Falls ID

Shoulder & Knee Center, Pa is an orthopedic surgery with a current address of 2035 E 17th St Idaho Falls ID 83404-6430. The NPI is 1831368752, and the license number is M8490 (ID). It was issued on 02/25/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on február 9, 2008.


Shoulder & Knee Center, Pa can be reached by phone at 2085245633, by mail at 2035 E 17th St Idaho Falls ID 83404-6430, or by fax at 2085241045.


John Andary (Owner) is the authorized representative of the organization and can be reached at this phone number: 2085245633.

Name: Shoulder & Knee Center, Pa

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: John Andary

Authorized Title/Position: Owner

Contact Number: 2085245633


Practice Location Address:

2035 E 17th St

Idaho Falls

ID 83404-6430

Telephone Number: 2085245633

Fax Number: 2085241045

Mailing Address:

2035 E 17th St

Idaho Falls

ID 83404-6430

Telephone Number: 2085245633

Fax Number: 2085241045


NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1831368752

Enumeration Date: 02/25/2008

Last Update: február 9, 2008


The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: M8490

License State: ID


Taxonomy Group: 193400000x Single Specialty Group


Other Taxonomy (if any):


Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 10139745

Code Type: 1

Identifier State: ID

Identifier Issuer: Blue Shield Of Idaho


Other Identifiers (if any):