DR. ETHAN ALEXANDER TAUB D.O. NPI 1295002285

NPI Information

NPI: 1295002285
Provider Name: DR. ETHAN ALEXANDER TAUB, D.O.
Classification: Surgery - 208600000X
Entity Type: Individual
PECOS Registration: Yes
Address: 999 N CURTIS RD STE 415
BOISE, ID
ZIP 83706
Phone: (208) 302-2600

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NPI Details

DR. Ethan Alexander Taub, D.O. is a surgery in Boise, ID with 17 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Ethan Alexander Taub, D.O. NPI is 1295002285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

999 N CURTIS RD STE 415
BOISE, ID
ZIP 83706-334
Phone: (208) 302-2600
Fax: (208) 302-2625

The NPI 1295002285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Critical care, first 30-74 minutes (HCPCS:99291)
Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
Colonoscopy (HCPCS:NAN13)
Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 11/19/2011 and was last updated on 8/13/2024.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	P5741	TEXAS	No
2	208600000X	Surgery	P5741	TEXAS	No
3	208600000X	Surgery	036137282	ILLINOIS	No
4	208600000X	Surgery	4061377	IDAHO	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	320190706	MEDICAID	TEXAS

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: 3/30/2025

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