IDAHO NEUROLOGICAL SURGERY, P.A.
NPI 1962691204
Specialist in Boise, ID

Active since October 23, 2007
222 N. 2ND STREET, SUITE 307, BOISE, ID 83702(208) 344-1000(208) 344-1331 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Neurological Surgery, P.a. NPPES

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

IDAHO NEUROLOGICAL SURGERY, P.A. (NPI 1962691204) is a healthcare organization registered as a specialist in Boise, Idaho and active in the NPI registry since October 2007. The organization lists Douglas E. Smith, President/owner/neurosurgeon, as its authorized official.

NPPES Registry Identity

NPI1962691204
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIDAHO NEUROLOGICAL SURGERY, P.A.
Location Address222 N. 2ND STREET, SUITE 307Boise, ID 83702-6131
Mailing Address222 N. 2nd Street, Suite 307Boise, ID 83702-6131 · (208) 344-1000 · Fax (208) 344-1331
Fax(208) 344-1331
Organization SubpartNo
Authorized OfficialDouglas E. SmithPresident/owner/neurosurgeon · (208) 344-1000
Enumeration DateOctober 23, 2007
NPI 1962691204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in ID · M-3522
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
222 N. 2ND STREET, Boise, ID 83702

Other Identifiers 2

Medicaid002755500ID
Medicare UPINA76853ID

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

Other Providers at the Same Location NPPES

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

Specialist
222 N. 2ND STREET, SUITE 307
BOISE, ID 83702

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 Neurological Surgery, P.A.'s NPI number?

The NPI number for Idaho Neurological Surgery, P.A. is 1962691204. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Idaho Neurological Surgery, P.A. located?

Idaho Neurological Surgery, P.A. is located at 222 N. 2nd Street Suite 307, Boise, ID 83702. The listed phone number is (208) 344-1000.

What is Idaho Neurological Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Idaho Neurological Surgery, P.A. was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.