Active NPI
Paul J Montalbano MD
- Neurological Surgery Physician
- Boise, ID
National Provider Identifier
1730219072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- M8076
- Legal business name
- PAUL J MONTALBANO MD
- Practice address
- 6140 Curtisian Ave
Suite 400
Boise, ID 83704-8880 - Phone
- (208) 327-5600
- Fax
- (208) 327-5602
- NPI assigned
- Mar 6, 2007
- Reactivated
- Dec 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul J Montalbano, MD
- Title
- Owner
- Phone
- (208) 327-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | M8076 | ID | Primary |
Addresses
Primary practice location
6140 Curtisian Ave
Suite 400
Boise, ID 83704-8880
Mailing address
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone (208) 327-5600
Other practice location 1
3875 E Overland Rd
Meridian, ID 83642-9005
Phone (208) 327-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807729900 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
125 E Idaho St
Ste 101
Boise, ID 83712
Phone (208) 381-4863
3875 E Overland Rd
Ste 205
Meridian, ID 83642
Phone (208) 287-6654
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Boise, ID
- NPI 1639282585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1730219072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 W CURTISIAN AVE STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048907",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 CURTISIAN AVE",
"address_2": "SUITE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048880",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602"
}
],
"practiceLocations": [
{
"address_1": "3875 E Overland Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429005",
"country_code": "US",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAUL J MONTALBANO MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"deactivation_date": "2011-12-16",
"reactivation_date": "2019-12-27",
"status": "A",
"authorized_official_last_name": "MONTALBANO",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-327-5600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "ID",
"license": "M8076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807729900",
"state": "ID"
}
],
"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 May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.