CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC – NPI #1508702275
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.
CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC is a surgeon located in EAGLE, ID. NPPES recently assigned the NPI number 1508702275 to CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC on April 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.
The NPI profile was last updated on May 11, 2026. 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 CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC below.
NPI Profile for
CLEARWATER ADVANCED SURGICAL ASSOCIATES LLC
(about 6 weeks ago)
EAGLE, ID 83616-6599 Phone: (208) 985-6179 Fax: (833) 468-5265
PMB 361
BOISE, ID 83702 Phone: (208) 900-8087 Fax: (833) 468-5265
OWNER
Phone: (208) 900-8087
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.
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) |
||
| 2086S0127X - Surgery / Trauma Surgery |
||
| 2086S0102X - Surgery / Surgical Critical Care |
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.