GRANITE MOUNTAIN SURGERY PLLC – NPI #1477359909
Surgery

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.

Health Care Provider Taxonomy Code for Surgery

GRANITE MOUNTAIN SURGERY PLLC is a surgeon located in BOISE, ID. NPPES has assigned the NPI number 1477359909 to GRANITE MOUNTAIN SURGERY PLLC on February 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

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 GRANITE MOUNTAIN SURGERY PLLC below.

NPI Profile for
GRANITE MOUNTAIN SURGERY PLLC

NPI Number
1477359909
Enumeration Date

(more than a year 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
GRANITE MOUNTAIN SURGERY PLLC
Primary location
8950 W EMERALD ST STE 195
BOISE, ID 83704-8296
Phone: (208) 999-3034 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMBER ELLIOTT
OWNER
Phone: (208) 412-4530
Updated
Certification Date
Feb 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208600000X
- Surgery (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.