Pacific Northwest Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7088 Issued in ID

Legal business name

PACIFIC NORTHWEST SURGICAL ASSOCIATES PC

Practice address

901 N Curtis Rd
Suite 403
Boise, ID 83706-1342

Phone

(208) 367-7160

Fax

(208) 367-7164

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Reed Livingston, MDNPI 1083690069

Title

Administrator

Phone

(208) 367-7160

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth R Livingston, MD

  • Surgery Physician
  • Boise, ID
  • NPI 1083690069
  NPD (past) Authorized official
• Robert L Korn, MD

  • Surgery Physician
  • Boise, ID
  • NPI 1700862786
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1205931615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "SUITE 403",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061342",
            "telephone_number": "208-367-7160",
            "fax_number": "208-367-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "SUITE 403",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061342",
            "telephone_number": "208-367-7160",
            "fax_number": "208-367-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-367-7160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M7088",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M7089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Marie Pacheco, M.D.
• Pacific Cataract and Laser Institute Inc PC
• Pacific Healthline PLLC (Purpose Built Physical Therapy)
• Pacific Hospice Inc
• Pacific Medical, Inc.
• Sally Eileen Packard, RN
• Allison Packer, PHARMD
• Madeleine Packer, PT, DPT
• Stephen Boyd Packer, MD
• Anne Padilla, LMSW

• Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.