PACIFIC NORTHWEST SURGICAL ASSOCIATES PC (NPI# 1205931615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205931615 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST SURGICAL ASSOCIATES PC |
| Practice Address |
901 N Curtis Rd Suite 403 Boise ID 83706-1342 |
| Practice Telephone | 2083677160 |
| Practice Fax Number | 2083677164 |
| Mailing Telephone | 2083677160 |
| Mailing Fax Number | 2083677164 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | ELIZABETH REED LIVINGSTON (ADMINISTRATOR) |
| Authorized Official Telephone | 2083677160 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | M7089 | ID | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | M7088 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
901 N CURTIS RD SUITE 403 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569149 | Michael V Keiley | Allergy & Immunology | 901 N Curtis Rd, Ste 100, Boise, ID 83706-1394 | 2005-09-21 |
| 1952881336 | Nicholas Hayes | Physical Therapist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2018-08-15 |
| 1245738038 | Kyla Megan Byers | Physician Assistant | 901 N Curtis Rd, Ste 501, Boise, ID 83706 | 2018-01-26 |
| 1932640968 | Shasta Marie Slavkovsky | Nurse Practitioner | 901 N Curtis Rd, #503, Boise, ID 83706-1338 | 2017-03-09 |
| 1750731667 | Taylor Lynne Norby | Physical Therapist | 901 N Curtis Rd, Suite 204, Boise, ID 83706-1338 | 2016-06-21 |
| 1073969564 | Milodie Mae Long | Speech-Language Pathologist | 901 N Curtis Rd, Ste. 204, Boise, ID 83706-1338 | 2016-05-13 |
| 1033583117 | Tyson Daniel Cook | Physical Therapist | 901 N Curtis Rd, Suite 204, Boise, ID 83706-1338 | 2015-11-30 |
| 1720461759 | Tawnya M Moeller | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1932582954 | Sarah L Aguirre-kuester | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1770985988 | Lindsey Marie Colter | Speech-Language Pathologist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2014-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178596 | Huntington Laparoscopy, PC | Surgery | 222 N 2nd St Ste 107, Boise, ID 83702-6129 | 2019-01-16 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| 1326385410 | Robert Henry Morrell | Surgery | 2061 S Springbrook Ln, Boise, ID 83706 | 2013-01-09 |
| 1063774727 | Ciara Rosemary Huntington | Surgery | 222 North 2nd Street, Suite 107, Boise, ID 83702 | 2012-06-08 |
| 1306983689 | Elizabeth M Prier | Surgery | 900 N Liberty Street, Ste 101, Boise, ID 83704-8704 | 2007-01-30 |
| 1336290915 | Austin R Cushman | Surgery | 901 N Curtis Rd Ste 103, Boise, ID 83706-1339 | 2007-01-12 |
| 1013064641 | John M Livingston | Surgery | 8756 W Emerald St, Suite 136, Boise, ID 83704-4831 | 2007-01-04 |
| 1629188933 | Christian A. Hamlat | Surgery | 333 N 1st St. 1, Boise, ID 83702 | 2006-08-30 |
| 1730190836 | Matthew R Macha | Surgery | 166 W Jefferson St, Boise, ID 83702-6124 | 2006-08-11 |
| 1386612414 | Johnny Bert Green | Surgery | 1072 N Liberty Street, Suite 201, Boise, ID 83704 | 2006-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.