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IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C. NPI 1477014207


NPI Information

NPI: 1477014207
Provider Name: IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2960 E. ST. LUKE'S ST.
SUITE 200
MERIDIAN, ID
ZIP 83642
Phone: (208) 378-4264
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IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C. is a surgery in Meridian, ID. 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. IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C. NPI is 1477014207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2960 E. ST. LUKE'S ST.
SUITE 200
MERIDIAN, ID
ZIP 83642-005
Phone: (208) 378-4264
Fax: (208) 957-6891

The provider's authorized official is David J Brown .
The authorized official title is Physician and has the following contact phone number (208) 378-4264.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 11/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184652364MEDICAIDIDAHO

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

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