Individual provider Active NPI

Thomas Robert Huntington, M.D.

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1376567180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M6209 Issued in ID
Practice address
222 N 2ND St
Suite 107
Boise, ID 83702-6109
Phone
(208) 344-4999
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M6209 ID Primary

Addresses

Primary practice location

222 N 2ND St
Suite 107
Boise, ID 83702-6109

Mailing address

222 N 2ND St
Suite 107
Boise, ID 83702-6109
Phone (208) 344-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000770 ID Practitioner - General Surgery 8022159169 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Laparoscopy PCGroup PAC ID 2567700917, 3 clinicians

Practice addresses (Care Compare)

222 N 2ND St
Suite 107
Boise, ID 83702-6129
Phone (208) 344-4999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6209IDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Laparoscopy, PC Surgery CurrentSince Jan 1, 2019 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Surgery PastSince Oct 1, 2007 Accepting new patients

Locations

222 N 2nd St
Ste 107
Boise, ID 83702
Phone (208) 344-4999

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376567180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 107",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-344-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 107",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-344-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M6209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.