NPIMap

Organization Active NPI

Elaine Key MD PLLC

  • Anesthesiology Physician
  • Boise, ID
National Provider Identifier
1245680099
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ELAINE KEY MD PLLC
Practice address
3919 E Timbersaw Dr
Boise, ID 83716
Phone
(210) 260-3082
Fax
(702) 405-7960
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Elaine Key, MDNPI 1144276734
Title
Ceo
Phone
(210) 260-3082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

3919 E Timbersaw Dr
Boise, ID 83716

Mailing address

PO Box 93358
Las Vegas, NV 89120
Phone (702) 487-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402003577 ID Part B Supplier - Clinic/Group Practice 0345679981 Receives reassigned benefits from 8 practitioners
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Locations

1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1245680099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93358",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 E TIMBERSAW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83716",
            "telephone_number": "210-260-3082",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE KEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-260-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.