Organization
HINES ORTHOPEDICS AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROD L HINES MD (OWNER)
(208) 954-1762
Entity
Organization
Contact information
Practice address
2020 S JOHNS AVE STE B, EMMETT, ID 83617-1386
(208) 817-2663
Mailing address
PO BOX 128, EMMETT, ID 83617-0128
(208) 817-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
02/11/2026
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