Pediatric Surgery of Idaho

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

PEDIATRIC SURGERY OF IDAHO

Practice address

100 E Idaho St Ste 300
Boise, ID 83712-6269

Phone

(208) 345-5400

Fax

(208) 345-5454

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Adrian Curnow, MD

Title

Pres

Phone

(208) 345-5400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609997261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IDAHO ST STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126269",
            "telephone_number": "208-345-5400",
            "fax_number": "208-345-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E IDAHO ST STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126269",
            "telephone_number": "208-345-5400",
            "fax_number": "208-345-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGERY OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURNOW",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "208-345-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "8C683",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "00010018063",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Pedersen, L.AC., D.O.M.
• Elisabeth Pederson, LPC
• Pediatric Cardiology of Idaho
• Pediatric Dentistry Associates
• Pediatric Neurosurgry of Idaho PC
• Ariane Diola Pedida
• Peer Recovery Supports of Idaho
• Weston Peine, DO
• Alyssa Pekas, MS
• Rico Lynn Pelazini, PHARM D, RPH

• Pediatric Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Pediatric 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.