ADA PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1548433790
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since April 09, 2008
900 N LIBERTY ST, SUITE 300, BOISE, ID 83704(208) 367-6903(208) 367-6904 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ada Plastic And Reconstructive Surgery NPPES

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

ADA PLASTIC AND RECONSTRUCTIVE SURGERY (NPI 1548433790) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since April 2008. The organization lists Thomas D Mckim, Owning Physician, as its authorized official.

NPPES Registry Identity

NPI1548433790
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADA PLASTIC AND RECONSTRUCTIVE SURGERY
Location Address900 N LIBERTY ST, SUITE 300Boise, ID 83704-8704
Mailing Address900 N Liberty St, Suite 300Boise, ID 83704-8704 · (208) 367-6903 · Fax (208) 367-6904
Fax(208) 367-6904
Organization SubpartNo
Authorized OfficialThomas D MckimOwning Physician · (208) 367-6901
Enumeration DateApril 9, 2008
Last NPPES UpdateApril 11, 2008
NPI 1548433790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in ID · M7009
900 N LIBERTY ST, Boise, ID 83704

Other Identifiers 2

Medicare UPINE01415ID
Medicare PIN1378144ID

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
900 N LIBERTY ST, STE 101
BOISE, ID 83704
Internal Medicine (Cardiovascular Disease)
900 N LIBERTY ST, SUITE 302
BOISE, ID 83704
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Podiatrist
900 N LIBERTY ST, SUITE 306
BOISE, ID 83704
Surgery (Plastic and Reconstructive Surgery)
900 N LIBERTY ST, STE 101
BOISE, ID 83704
Clinic/Center (Ambulatory Surgical)
900 N LIBERTY ST, SUITE 450
BOISE, ID 83704

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 Ada Plastic And Reconstructive Surgery's NPI number?

The NPI number for Ada Plastic And Reconstructive Surgery is 1548433790. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Ada Plastic And Reconstructive Surgery located?

Ada Plastic And Reconstructive Surgery is located at 900 N Liberty St Suite 300, Boise, ID 83704. The listed phone number is (208) 367-6903.

What is Ada Plastic And Reconstructive Surgery'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 Ada Plastic And Reconstructive Surgery was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.