Sinus Surgery Center Idaho PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SINUS SURGERY CENTER IDAHO PA

Practice address

3085 E Magic View Dr Ste 140
Meridian, ID 83642-3745

Phone

(208) 433-9300

Fax

(208) 433-9854

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John A Boyajian, M.D.

Title

Medical Director

Phone

(208) 433-9300

Specialties & licenses 1

Addresses

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 2

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
• Rick Steinburg, PA-C

  • Medical Physician Assistant
  • Nampa, ID
  • NPI 1548265218
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1902960206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423745",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423745",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINUS SURGERY CENTER IDAHO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "BOYAJIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-433-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B Simpson, PT
• Scott C Simpson, M.D.
• Spencer Andrew Simpson, APRN-CNP
• Russell Neal Singleton, PA-C
• Kartika Singpraseuth, PHARMD
• Sirucek Chiropractic Neurology Clinic, Inc.
• Dax Sirucek, DC, DACNB
• Maria Teresa Gomez Sirucek, D.C.
• Sisc Anesthesia Inc
• Amanda Sissom

• 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 Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.