Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.
NPI 1184899973ActiveOrganization· Plastic Surgery· Boise, ID
Plastic Surgery in Boise, Idaho, registered in NPPES in April 2008. The authorized official on file is Russell H. Griffiths, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184899973 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2008 |
| Last updated in NPPES | May 8, 2023 |
| Certified by provider | May 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | M7454 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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