OrganizationActive
Sun Valley Sports Medicine, P.A.
NPI 1124061163 · Orthopaedic Surgery Physician · Ketchum, ID
Provider details
- NPI number
- 1124061163
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Wasilweski, Physician(208) 726-5207
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
191 5th St W
Ketchum, ID 83340
Phone: (208) 726-5207
Fax: (208) 726-8948
Street-level locationGet directions
Mailing address
191 5th St W
Ketchum, ID 83340
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.