Boise Center for Foot Surgery PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

13C0001011 Issued in ID

Legal business name

BOISE CENTER FOR FOOT SURGERY PLLC

Doing business as

Millennium Surgery Center
Paramount Surgery Center

Practice address

2264 E Cinema Drive
Meridian, ID 83642

Phone

(208) 381-0262

Fax

(208) 429-8575

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Deedee Schwartz

Title

Office Manager

Phone

(208) 381-0262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Millennium Surgery Center Doing business as
• Paramount Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Millennium Surgery CenterCCN 13C0001011

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Bret J Rodgers

  • Facial Plastic Surgery Physician
  • Boise, ID
  • NPI 1396763272
  NPD
• Jodie B Woods, CFA

  • Specialist
  • Boise, ID
  • NPI 1710047741
  NPD
• Jayson Johnson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Boise, ID
  • NPI 1841673118
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1770598591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 E CINEMA DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-381-0262",
            "fax_number": "208-429-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 E CINEMA DRIVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-381-0262",
            "fax_number": "208-429-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE CENTER FOR FOOT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DEEDEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-381-0262"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ID",
            "license": "13C0001011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002761500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paramount Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Boeck, FNP
• Abigail Boesiger
• Sarah Bofukya Bope
• Carin Bohan, PA-C
• Theodore Weldon Bohlman, M.D.
• Boise Dermatology
• Boise Dialysis LLC
• Boise Endoscopy Center, LLC
• Boise Endoscopy Center, LLC
• Boise Id Caregiving LLC

• Ambulatory Surgical Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.