Ada Surgical Associates, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M5303 Issued in ID

Legal business name

ADA SURGICAL ASSOCIATES, PA

Practice address

901 N Curtis Rd
Ste 104
Boise, ID 83706-1338

Phone

(208) 378-4749

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Farley

Title

Office Manager

Phone

(208) 378-4749

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023060738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061338",
            "telephone_number": "208-378-4749",
            "fax_number": "208-378-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061338",
            "telephone_number": "208-378-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-378-4749"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M5303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Dermatology, P.a.
• Ada Home Health LLC
• Ada Orthopaedic Clinic
• Ada Pediatrics, P.a.
• Ada Plastic and Reconstructive Surgery
• Ada Therapy Services PLLC
• Ada Vision Center East PLLC
• Ada Vision Center P.a.
• Adam Purcell LCSW PLLC
• Adam Smith Counseling LLC

• All providers in Boise, ID
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.