ADAM J OLSCAMP MD PC NPI 1063896546

NPI Information

NPI: 1063896546
Provider Name: ADAM J OLSCAMP MD PC

Doing Business As: ORTHOPEDIC SPORTS INSTITUTE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1233 N NORTHWOOD CENTER CT STE 101
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 457-4211
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ADAM J OLSCAMP MD PC is a multi-specialty clinic center in Coeur D Alene, ID. ADAM J OLSCAMP MD PC NPI is 1063896546. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orthopedic Sports Institute.

The provider's business location address is:

1233 N NORTHWOOD CENTER CT STE 101
COEUR D ALENE, ID
ZIP 83814-190
Phone: (208) 457-4211
Fax: (208) 773-1473

The provider's authorized official is Adam James Olscamp .
The authorized official title is Owner and has the following contact phone number (208) 457-4211.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 11/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207X00000X	Orthopaedic Surgery		No
2	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	No
3	207XX0005X	Orthopaedic Surgery	Sports Medicine	No
4	225100000X	Physical Therapist		No
5	2251S0007X	Physical Therapist	Sports	No
6	2251X0800X	Physical Therapist	Orthopedic	No
7	363A00000X	Physician Assistant		No
8	363AS0400X	Physician Assistant	Surgical	No
9	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063896546	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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