BOISE SURGICAL GROUP
NPI 1871648352
Surgery in Meridian, ID

Active since January 24, 2007
3399 E. LOUISE DR., #400, MERIDIAN, ID 83642(208) 364-3000(208) 364-3191 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boise Surgical Group NPPES

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

BOISE SURGICAL GROUP (NPI 1871648352) is a healthcare organization registered as a surgery in Meridian, Idaho and active in the NPI registry since January 2007. The organization lists Kirsten Grunzke, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1871648352
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBOISE SURGICAL GROUP
Location Address3399 E. LOUISE DR., #400Meridian, ID 83642
Mailing Address3399 E. Louise Dr., #400Meridian, ID 83642 · (208) 364-3000 · Fax (208) 364-3191
Fax(208) 364-3191
Organization SubpartNo
Authorized OfficialKirsten GrunzkePractice Administrator · (208) 364-3000
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 29, 2010
NPI 1871648352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in ID · M7481 Licensed in ID · M8489 Licensed in ID · M7975 Licensed in ID · M8195
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.
3399 E. LOUISE DR., Meridian, ID 83642

Other Identifiers 9

OtherCI1633ID · Railroad Medicare
Medicare UPING77853ID
Medicare UPINB63907ID
Medicare UPINH63779ID
Medicaid002354900ID
Medicare UPINF60222ID
Medicare UPINH41881ID
Medicare UPINH15703
Medicare ID-Type Unspecified1370371ID · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Surgery
3399 E. LOUISE DR., #400
MERIDIAN, ID 83642
Surgery
3399 E. LOUISE DR., #400
MERIDIAN, ID 83642

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 Surgical Group's NPI number?

The NPI number for Boise Surgical Group is 1871648352. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Boise Surgical Group located?

Boise Surgical Group is located at 3399 E. Louise Dr. #400, Meridian, ID 83642. The listed phone number is (208) 364-3000.

What is Boise Surgical Group'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 Boise Surgical Group was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.