Intermountain Surgery Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

INTERMOUNTAIN SURGERY CENTER

Practice address

600 N Robbins Rd
Ste 401
Boise, ID 83702

Phone

(208) 383-0201

Fax

(208) 489-4010

NPI assigned

Aug 23, 2006

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brandi Barnhart

Title

Billing Coordinator

Phone

(208) 489-4206

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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.

• Larry D Showalter, MD

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1942211818
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1609983089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROBBINS RD",
            "address_2": "STE 401",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024539",
            "telephone_number": "208-383-0201",
            "fax_number": "208-489-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD",
            "address_2": "STE 401",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-383-0201",
            "fax_number": "208-489-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "208-489-4206",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490005004",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04077",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "185507800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010028431",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805845600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intermountain Medical Imaging LLC
• Intermountain Ocular Prosthetics, Inc.
• Intermountain Ocular Prosthetics, Inc.
• Intermountain Orthopaedic PLLC
• Intermountain Orthopaedics Specialists
• Intermountian Pediatric Clinic PA
• International Rescue Committee, Inc.
• Introspective Counseling & Consulting LLC
• Crystal Ipsen, LPC
• Melannee Ipsen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.