SPINE CIN OF BOISE, LLC
NPI 1104489376
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Boise, ID

Active since April 15, 2019
800 W MAIN ST STE 1460-10, BOISE, ID 83702(615) 386-0064 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spine Cin Of Boise, Llc NPPES

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

SPINE CIN OF BOISE, LLC (NPI 1104489376) is a healthcare organization registered as an orthopaedic surgery of the spine in Boise, Idaho and active in the NPI registry since April 2019. The organization lists Edward Leland Hutton Eadie, Director, as its authorized official.

NPPES Registry Identity

NPI1104489376
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSPINE CIN OF BOISE, LLC
Location Address800 W MAIN ST STE 1460-10Boise, ID 83702-5945
Mailing Address102 Woodmont Blvd Ste 350Nashville, TN 37205-2216 · (615) 733-2064
Organization SubpartNo
Authorized OfficialEdward Leland Hutton EadieDirector · (615) 733-2064
Enumeration DateApril 15, 2019
NPI 1104489376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
800 W MAIN ST STE 1460-10, Boise, ID 83702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Orthopaedic Surgery
800 W MAIN ST STE 1460-10
BOISE, ID 83702
Internal Medicine (Cardiovascular Disease)
800 W MAIN ST STE 1460-10
BOISE, ID 83702

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 Spine Cin Of Boise, LLC's NPI number?

The NPI number for Spine Cin Of Boise, LLC is 1104489376. It was assigned to this organization in the NPPES registry on April 15, 2019.

Where is Spine Cin Of Boise, LLC located?

Spine Cin Of Boise, LLC is located at 800 W Main St Ste 1460-10, Boise, ID 83702. The listed phone number is (615) 386-0064.

What is Spine Cin Of Boise, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Spine Cin Of Boise, LLC was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.