PEDIATRIC SURGERY OF IDAHO NPI 1609997261

NPI Information

NPI: 1609997261
Provider Name: PEDIATRIC SURGERY OF IDAHO
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
100 E IDAHO ST STE 300
BOISE, ID
ZIP 83712
Phone: (208) 345-5400
Get Directions

PEDIATRIC SURGERY OF IDAHO is a pediatric surgery surgery in Boise, ID. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGERY OF IDAHO NPI is 1609997261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E IDAHO ST STE 300
BOISE, ID
ZIP 83712-269
Phone: (208) 345-5400
Fax: (208) 345-5454

The provider's authorized official is Adrian Curnow .
The authorized official title is Pres and has the following contact phone number (208) 345-5400.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00010018063	OTHER	IDAHO	BLUE SHIELD GROUP #
2	8C683	OTHER	IDAHO	BLUE CROSS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »