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IDAHO UROLOGIC INSTITUTE PA
NPI 1689620692
Urology in Meridian, ID

Active since May 25, 2006CLIA 13D0977077 · Certificate of Compliance
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642(208) 639-4900(208) 639-4939 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Urologic Institute Pa NPPES

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

IDAHO UROLOGIC INSTITUTE PA (NPI 1689620692) is a healthcare organization registered as an urology in Meridian, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 7, 2027 and lists Todd Waldamann, Manager, as its authorized official.

NPPES Registry Identity

NPI1689620692
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameIDAHO UROLOGIC INSTITUTE PA
Location Address2855 E MAGIC VIEW DRMeridian, ID 83642-6245
Mailing Address2855 E Magic View DrMeridian, ID 83642-6245 · (208) 639-4900 · Fax (208) 639-4939
Phone(208) 639-4900
Fax(208) 639-4939
Organization SubpartNo
Authorized OfficialTodd WaldamannManager · (208) 343-7736
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1689620692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2855 E MAGIC VIEW DR, Meridian, ID 83642
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Other Identifiers 8

Other000010006729ID · Blue Shield Meridian
Other000010152026ID · Blue Shield Nampa
Other8M783ID · Blue Cross Nampa
Other8M152ID · Blue Cross Boise
OtherDD7372ID · Railroad Medicare
Other000010152026ID · Blue Shield Boise
Medicaid807277400ID
Other8M879ID · Blue Cross Meridian

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0977077

Idaho Urologic Institute · Meridian, ID
Active · expires Jan 7, 2027
CLIA Number13D0977077
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorAdam J. Cole
Laboratory Phone(208) 639-4900
Laboratory LocationIdaho Urologic Institute2855 E Magic View Dr, Meridian, ID 83642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. ERIC W KLEIN M.D.,MPH, TM
Specialist
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
MS. MELISSA BRIANNE MCCLENAHAN PA-C
Physician Assistant
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
DR. NICHOLAS J KUNTZ M.D.
Urology
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
DR. TODD M WALDMANN M.D.
Urology
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
LEE ANN CONRAD PA-C
Physician Assistant
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
DR. STEPHEN J MILLER M.D.
Urology
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
LEA JO PIPER
Specialist/Technologist, Other (Surgical Assistant)
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900
DR. JOSEPH H WILLIAMS M.D.
Urology
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642
Ada County (208) 639-4900

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 Urologic Institute PA's NPI number?

The NPI number for Idaho Urologic Institute PA is 1689620692. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Idaho Urologic Institute PA located?

Idaho Urologic Institute PA is located at 2855 E Magic View Dr, Meridian, ID 83642. The listed phone number is (208) 639-4900.

What is Idaho Urologic Institute PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Idaho Urologic Institute PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0977077) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Urologic Institute PA accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Idaho Urologic Institute PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Urologic Institute PA was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.