SPINE INSTITUTE OF IDAHO P A – NPI #1659380269
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

SPINE INSTITUTE OF IDAHO P A is an orthopaedic surgeon located in MERIDIAN, ID. NPPES has assigned the NPI number 1659380269 to SPINE INSTITUTE OF IDAHO P A on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

The NPI profile was previously updated about 10 years ago on Oct 04, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE INSTITUTE OF IDAHO P A below.

NPI Profile for
SPINE INSTITUTE OF IDAHO P A

NPI Number
1659380269
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE INSTITUTE OF IDAHO P A
Primary location
360 E MONTVUE DR
SUITE 100
MERIDIAN, ID 83642-6318
Phone: (208) 855-2900 Fax: (208) 898-9877
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TYLER COOPER
OFFICE ASST ADMINISTRATOR
Phone: (208) 855-2900
Updated
Identifiers

Identifiers for SPINE INSTITUTE OF IDAHO P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID805983000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.