Mr. Douglas Alan Cipriano
Sports Medicine Orthopaedic Surgeon
606 N. 3rd Avenue Suite 201
Sandpoint
, Idaho 83864-1689
Mr. Douglas Alan Cipriano
Sports Medicine Orthopaedic Surgeon
606 N. 3rd Avenue Suite 201
Sandpoint
, Idaho 83864-1689
(208) 265-0667
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Douglas Alan Cipriano
- 606 N. 3rd Avenue Suite 201
- Sandpoint, ID
- Zip : 83864-1689
- Fax : (208) 265-0667
- Phone : (208) 263-8597
Second Address
- Mr. Douglas Alan Cipriano
- 606 N. 3rd Avenue Suite 201
- Sandpoint, ID
- Zip : 83864-1689
- Fax : (208) 265-0667
- Phone : (208) 263-8597
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M6568 | ID |
National Provider Identifier
| NPI | 1164597431 |
|---|---|
| Provider Name | Mr. Douglas Alan Cipriano |
| First Address | Sandpoint, ID 83864-1689 |
| Second Address | Sandpoint, ID 83864-1689 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 01/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010000103 | REGENCE BLUE SHIELD (01) | ID |
| 002777500 | (05) | ID |
| 1009215 | IDAHO STATE INSURANCE (01) | ID |
| 1164597431 | (05) | MT |
| 360191400 | US DEPT OF LABOR (01) | ID |
| 76559 | BLUE CROSS (01) | ID |
| 8464828 | (05) | WA |
| P00041410 | RAILROAD MEDICARE (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.