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IDAHO SURGICAL, LLC
NPI 1790340834
Surgery in Nampa, ID

Active since May 03, 2019
6195 E HUNT AVE, NAMPA, ID 83687(208) 639-4900 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 14, 2019, May 3, 2019 (2 updates tracked since 2019).

About Idaho Surgical, Llc NPPES

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

IDAHO SURGICAL, LLC (NPI 1790340834) is a healthcare organization registered as a surgery in Nampa, Idaho and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Boise and lists Bren Heaton, Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1790340834
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameIDAHO SURGICAL, LLC
Location Address6195 E HUNT AVENampa, ID 83687-8317
Mailing Address1662 S Lake Crest WayEagle, ID 83616-7142
Phone(208) 639-4900
Organization SubpartNo
Authorized OfficialBren HeatonSurgeon/owner · (208) 854-9828
Enumeration DateMay 3, 2019
Last NPPES UpdateJune 14, 20192 updates tracked since enumeration
✔ NPI 1790340834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6195 E HUNT AVE, Nampa, ID 83687
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Secondary Practice Location 1

Location 1222 N 2nd St Ste 115Boise, ID 83702-6129 · Phone (208) 639-4900

Other Identifiers 1

Medicaid1629244355ID

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

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 Surgical, LLC's NPI number?

The NPI number for Idaho Surgical, LLC is 1790340834. It was assigned to this organization in the NPPES registry on May 3, 2019.

Where is Idaho Surgical, LLC located?

Idaho Surgical, LLC is located at 6195 E Hunt Ave, Nampa, ID 83687. The listed phone number is (208) 639-4900.

What is Idaho Surgical, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Idaho Surgical, LLC was last updated on June 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.