Spine Institute of Idaho P A
NPI 1659380269ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Meridian, ID
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Meridian, Idaho, registered in NPPES in August 2006. The authorized official on file is Tyler Cooper, Office Asst Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659380269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Oct 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
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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