Idaho Ortho Spine, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

IDAHO ORTHO SPINE, PLLC

Practice address

115 W Main St Ste 102
Boise, ID 83702-7304

Phone

(801) 875-1120

NPI assigned

May 28, 2026

Last updated

May 28, 2026By 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

Dr. Ross Sherban, DO

Title

Member

Phone

(801) 875-1120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1831020726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027304",
            "telephone_number": "801-875-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027304",
            "telephone_number": "801-875-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ORTHO SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SHERBAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-875-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Neurology PLLC
• Idaho Neuropsychology, PLLC
• Idaho Novus Classical Academy
• Idaho NP Clinic PLLC
• Idaho Nutrition and Wellness Clinic
• Idaho Pain Center
• Idaho Pain Medicine, LLP
• Idaho Pediatric Gastroenterology PA
• Idaho Perio Center for Dental Implants & Laser Periodontal Therapy
• Idaho Physical Medicine & Rehabilitation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.