Organization
CATALYST ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE LLC
Active
Other names
Catalyst Orthopaedic & Sports Medicine, Catalyst Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN NEARY MD (OWNER/AUTHORIZED OFFICIAL)
(208) 321-1209
Entity
Organization
Contact information
Practice address
8950 W EMERALD ST STE 168, BOISE, ID 83704-8296
(208) 321-1209
(208) 321-1211
Mailing address
8950 W EMERALD ST STE 168, BOISE, ID 83704-8296
(208) 321-1209
(208) 321-1211
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225000000X
Orthotic Fitter
—
—
246ZX2200X
Orthopedic Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/29/2023
Last updated
03/20/2024
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