Idaho Neurological Surgery, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-3522 Issued in ID

Legal business name

IDAHO NEUROLOGICAL SURGERY, P.A.

Practice address

222 N. 2ND Street
Suite 307
Boise, ID 83702-6131

Phone

(208) 344-1000

Fax

(208) 344-1331

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By 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. Douglas E. Smith, M. D.

Title

President/Owner/Neurosurgeon

Phone

(208) 344-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Tyler Frizzell, MD

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1114977600
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1962691204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N. 2ND STREET",
            "address_2": "SUITE 307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-1000",
            "fax_number": "208-344-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N. 2ND STREET",
            "address_2": "SUITE 307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-1000",
            "fax_number": "208-344-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO NEUROLOGICAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/NEUROSURGEON",
        "authorized_official_telephone_number": "208-344-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-3522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002755500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idaho Joint and Spine LLC
• Idaho Joint and Spine, PC
• Idaho Memory & Aging Center PLLC
• Idaho Naturopathic Medicine, LLC
• Idaho Nephrology Associates, L.L.C
• Idaho Neurology PLLC
• Idaho Neuropsychology, PLLC
• Idaho Novus Classical Academy
• Idaho NP Clinic PLLC
• Idaho Nutrition and Wellness Clinic

• Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.