VICTORY SURGICAL SERVICES PLLC
NPI 1114412731
Surgery in Boise, ID

Q: What is Victory Surgical Services PLLC's NPI number?

The NPI number for Victory Surgical Services PLLC is 1114412731. It was assigned to this organization in the NPPES registry on June 26, 2018.

Q: What is Victory Surgical Services PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 26, 2018

8854 W EMERALD ST STE 140, BOISE, ID 83704(208) 321-4790(208) 321-4836 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2018, Jun 26, 2018 (2 updates tracked since 2018).

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About Victory Surgical Services Pllc NPPES

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

VICTORY SURGICAL SERVICES PLLC (NPI 1114412731) is a healthcare organization registered as a surgery in Boise, Idaho and active in the NPI registry since June 2018. The organization lists Keri L Hine, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114412731

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameVICTORY SURGICAL SERVICES PLLC

Location Address8854 W EMERALD ST STE 140Boise, ID 83704

Mailing Address8854 W Emerald St Ste 140Boise, ID 83704-4845 · (208) 321-4790 · Fax (208) 321-4836

Phone(208) 321-4790

Fax(208) 321-4836

Organization SubpartNo

Authorized OfficialKeri L HineAdministrator · (208) 321-4790

Enumeration DateJune 26, 2018

Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration

✔ NPI 1114412731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

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.

8854 W EMERALD ST STE 140, Boise, ID 83704

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

RYAN APPLONIE DO

Orthopaedic Surgery