THE SHOULDER CLINIC OF IDAHO PLLC
NPI 1821164138
Orthopaedic Surgery in Boise, ID

Q: What is The Shoulder Clinic Of Idaho PLLC's NPI number?

The NPI number for The Shoulder Clinic Of Idaho PLLC is 1821164138. It was assigned to this organization in the NPPES registry on November 28, 2006.

Q: What is The Shoulder Clinic Of Idaho PLLC's specialty?

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

Active since November 28, 2006

8854 W EMERALD ST, STE 102, BOISE, ID 83704(208) 323-4747(208) 323-4848 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Shoulder Clinic Of Idaho Pllc NPPES

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

THE SHOULDER CLINIC OF IDAHO PLLC (NPI 1821164138) is a healthcare organization registered as an orthopaedic surgery in Boise, Idaho and active in the NPI registry since November 2006. The organization lists Thomas Earl Goodwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1821164138

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameTHE SHOULDER CLINIC OF IDAHO PLLC

Location Address8854 W EMERALD ST, STE 102Boise, ID 83704-4844

Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420

Phone(208) 323-4747

Fax(208) 323-4848

Organization SubpartNo

Authorized OfficialThomas Earl GoodwinOwner · (208) 323-4747

Enumeration DateNovember 28, 2006

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1821164138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

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.

8854 W EMERALD ST, Boise, ID 83704

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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 13

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

DR. JEFFREY GLENN HESSING M.D.

Orthopaedic Surgery

8854 W EMERALD ST, SUITE 140
BOISE, ID 83704

Ada County (208) 327-4790

TROY B WATKINS JR. M.D.

Orthopaedic Surgery

8854 W EMERALD ST, # 170
BOISE, ID 83704

Ada County (208) 343-2555

DR. TIMOTHY EUGENE DOERR M.D.

Orthopaedic Surgery

8854 W EMERALD ST, SUITE 140
BOISE, ID 83704

Ada County (208) 321-4790

A GEORGE MUNAYIRJI MD

Surgery

8854 W EMERALD ST
BOISE, ID 83704

Ada County (208) 658-1774

PHYSICAL THERAPY CENTERS OF IDAHO

Clinic/Center (Physical Therapy)

8854 W EMERALD ST, SUITE 280
BOISE, ID 83704

Ada County (208) 377-5005

KELLY JO VINCENT PA-C

Physician Assistant

8854 W EMERALD ST, SUITE #102
BOISE, ID 83704

Ada County (208) 323-4747

IDAHO CRH SURGEONS PC

Surgery

8854 W EMERALD ST, SUITE 140
BOISE, ID 83704

Ada County (208) 658-1774

MRS. KATHRYN A COLSON PA-C

Physician Assistant (Medical)

8854 W EMERALD ST, STE 102
BOISE, ID 83704

Ada County (208) 323-4747

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 The Shoulder Clinic Of Idaho PLLC's NPI number?

The NPI number for The Shoulder Clinic Of Idaho PLLC is 1821164138. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is The Shoulder Clinic Of Idaho PLLC located?

The Shoulder Clinic Of Idaho PLLC is located at 8854 W Emerald St Ste 102, Boise, ID 83704. The listed phone number is (208) 323-4747.

What is The Shoulder Clinic Of Idaho PLLC's specialty?

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

What insurance does The Shoulder Clinic Of Idaho PLLC accept?

Health plans from Moda Health Plan, Inc. list The Shoulder Clinic Of Idaho PLLC 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 The Shoulder Clinic Of Idaho PLLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.