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IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
NPI 1184899973
Plastic Surgery in Boise, ID

Active since April 23, 2008
100 E IDAHO STREET, SUITE 303, BOISE, ID 83712(208) 433-1736(208) 433-1738 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2023, May 1, 2023 (2 updates tracked since 2023).

About Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.a. NPPES

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

IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A. (NPI 1184899973), doing business as Russell H Griffiths, Mdpa, is a healthcare organization registered as a plastic surgery in Boise, Idaho and active in the NPI registry since April 2008. The organization lists Russell H Griffiths, President, as its authorized official.

NPPES Registry Identity

NPI1184899973
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameIDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
Location Address100 E IDAHO STREET, SUITE 303Boise, ID 83712-6269
Mailing Address100 E Idaho Street, Suite 303Boise, ID 83712-6269 · (208) 433-1736 · Fax (208) 433-1738
Phone(208) 433-1736
Fax(208) 433-1738
Organization SubpartNo
Authorized OfficialRussell H GriffithsPresident · (208) 433-1736
Enumeration DateApril 23, 2008
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1184899973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in ID · M7454
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 E IDAHO STREET, SUITE 303, Boise, ID 83712
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Other Names 1

Former Legal Business NameRussell H Griffiths, Mdpa

Other Identifiers 1

Medicaid805132700ID

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

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

EARL ANTHONY GAGE MD
Plastic Surgery
100 E IDAHO STREET, SUITE 303
BOISE, ID 83712
Ada County (314) 251-4772

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 Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.'s NPI number?

The NPI number for Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is 1184899973. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider was formerly known as Russell H Griffiths, Mdpa.

Where is Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. located?

Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is located at 100 E Idaho Street, Suite 303, Boise, ID 83712. The listed phone number is (208) 433-1736.

What is Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. was last updated on May 8, 2023. 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.