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SUMMIT CARDIOVASCULAR GROUP LLC
NPI 1063123578
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since December 06, 2022
8854 W EMERALD ST STE 260, BOISE, ID 83704(615) 423-1159 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Cardiovascular Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT CARDIOVASCULAR GROUP LLC (NPI 1063123578) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since December 2022. The organization lists Jenny Bloebaum, Vice President, Operational Integra, as its authorized official.

NPPES Registry Identity

NPI1063123578
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT CARDIOVASCULAR GROUP LLC
Location Address8854 W EMERALD ST STE 260Boise, ID 83704-4860
Mailing Address8854 W Emerald St Ste 260Boise, ID 83704-4860
Phone(615) 423-1159
Organization SubpartNo
Authorized OfficialJenny BloebaumVice President, Operational Integra · (615) 423-1159
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1063123578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8854 W EMERALD ST STE 260, Boise, ID 83704
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDERICK M COSTELLO MD
Internal Medicine (Interventional Cardiology)
8854 W EMERALD ST STE 260
BOISE, ID 83704
Ada County (208) 398-4306
JESSICA M HERR FNP
Nurse Practitioner
8854 W EMERALD ST STE 260
BOISE, ID 83704
Ada County (208) 755-2804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Cardiovascular Group LLC's NPI number?

The NPI number for Summit Cardiovascular Group LLC is 1063123578. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Summit Cardiovascular Group LLC located?

Summit Cardiovascular Group LLC is located at 8854 W Emerald St Ste 260, Boise, ID 83704. The listed phone number is (615) 423-1159.

What is Summit Cardiovascular Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Summit Cardiovascular Group LLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.