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HUMPHREY SHOULDER CLINIC
NPI 1760581409
Orthopaedic Surgery in Eagle, ID

Active since September 21, 2006
3381 W BAVARIA STREET, EAGLE, ID 83616(208) 639-4800(208) 639-4801 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Humphrey Shoulder Clinic NPPES

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

HUMPHREY SHOULDER CLINIC (NPI 1760581409) is a healthcare organization registered as an orthopaedic surgery in Eagle, Idaho and active in the NPI registry since September 2006. The organization lists Carl Scott Humphrey, Owner, as its authorized official.

NPPES Registry Identity

NPI1760581409
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBOISE SHOULDER CLINIC, PA
Location Address3381 W BAVARIA STREETEagle, ID 83616-5341
Mailing Address3381 W Bavaria StreetEagle, ID 83616-5341 · (208) 639-4800 · Fax (208) 639-4801
Phone(208) 639-4800
Fax(208) 639-4801
Organization SubpartNo
Authorized OfficialCarl Scott HumphreyOwner · (208) 639-4800
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 13, 2012
✔ NPI 1760581409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ID · M9563
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3381 W BAVARIA STREET, Eagle, ID 83616
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Other Names 1

Doing Business AsHumphrey Shoulder Clinic

Other Identifiers 2

Medicare UPINI36275ID
Medicare ID-Type Unspecified1370000ID · Medicare Number Pending

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 Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. CARL SCOTT HUMPHREY MD
Orthopaedic Surgery
3381 W BAVARIA STREET
EAGLE, ID 83616
Ada County (208) 639-4800

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 Boise Shoulder Clinic, PA's NPI number?

The NPI number for Boise Shoulder Clinic, PA is 1760581409. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Humphrey Shoulder Clinic.

Where is Boise Shoulder Clinic, PA located?

Boise Shoulder Clinic, PA is located at 3381 W Bavaria Street, Eagle, ID 83616. The listed phone number is (208) 639-4800.

What is Boise Shoulder Clinic, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Boise Shoulder Clinic, PA accept?

Health plans from Moda Health Plan, Inc. list Boise Shoulder Clinic, 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 Boise Shoulder Clinic, PA was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.