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BOISE SURGICAL GROUP NPI 1871648352


NPI Information

NPI: 1871648352
Provider Name: BOISE SURGICAL GROUP
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3399 E. LOUISE DR.
#400
MERIDIAN, ID
ZIP 83642
Phone: (208) 364-3000
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BOISE SURGICAL GROUP 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. BOISE SURGICAL GROUP NPI is 1871648352. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3399 E. LOUISE DR.
#400
MERIDIAN, ID
ZIP 83642
Phone: (208) 364-3000
Fax: (208) 364-3191

The provider's authorized official is Kirsten Grunzke .
The authorized official title is Practice Administrator and has the following contact phone number (208) 364-3000.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 6/29/2010.


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
1208600000XSurgeryM8489IDAHONo
2208600000XSurgeryM7975IDAHONo
3208600000XSurgeryM8195IDAHONo
4208600000XSurgeryM7481IDAHOYes

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
1CI1633OTHERIDAHORAILROAD MEDICARE
2G77853MEDICARE UPINIDAHO
3B63907MEDICARE UPINIDAHO
4H63779MEDICARE UPINIDAHO
5002354900MEDICAIDIDAHO
6F60222MEDICARE UPINIDAHO
7H41881MEDICARE UPINIDAHO
8H15703MEDICARE UPIN
91370371MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE GROUP NUMBER

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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