Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sun Valley Sports Medicine, PA

Organization Orthopaedic Surgery Physician · NPI 1124061163

Sun Valley Sports Medicine, PA is an Orthopaedic Surgery Physician in Ketchum, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

191 5th St W
Ketchum, ID 83340
Phone: (208) 726-5207
Fax: (208) 726-8948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1124061163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Wasilweski — Physician · (208) 726-5207
NPI enumeratedJune 14, 2006
Last updated in NPPESJune 17, 2008
Mailing address191 5th St W, Ketchum, ID 83340

Other providers in Ketchum