PHILLIP C AGRUSA MD
NPI 1407826167
Obstetrics & Gynecology in Meridian, ID

Active since January 25, 2006
3520 E. LOUISE DR, MERIDIAN, ID 83642(208) 955-0350(208) 955-0352 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip C Agrusa Md NPPES

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

PHILLIP C AGRUSA MD (NPI 1407826167) is an individual obstetrics & gynecology provider in Meridian, Idaho, licensed in California (M7716) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1407826167
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePHILLIP C AGRUSACredential: MD
Location Address3520 E. LOUISE DRMeridian, ID 83642
Mailing Address3520 E. Louise DrMeridian, ID 83642 · (208) 955-0350 · Fax (208) 955-0352
Fax(208) 955-0352
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJanuary 15, 2013
NPI 1407826167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · M7716
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3520 E. LOUISE DR, Meridian, ID 83642

Other Identifiers 6

Other000010005656ID · Regence Blue Shield Of Id
Medicaid805522900ID
Medicare ID-Type Unspecified1145100ID
Medicaid212843OR
Medicare UPINH27312ID
OtherJ1742ID · Blue Cross Of Idaho

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
3520 E. LOUISE DR
MERIDIAN, ID 83642
Nurse Practitioner (Obstetrics & Gynecology)
3520 E. LOUISE DR
MERIDIAN, ID 83642
Obstetrics & Gynecology
3520 E. LOUISE DR
MERIDIAN, ID 83642

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 Phillip Agrusa's NPI number?

The NPI number for Phillip Agrusa is 1407826167. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Phillip Agrusa located?

Phillip Agrusa practices at 3520 E. Louise Dr, Meridian, ID 83642. The listed phone number is (208) 955-0350.

What is Phillip Agrusa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Phillip Agrusa was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.