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Boise Surgical Group

NPI 1871648352ActiveOrganization· Surgery· Meridian, ID

Surgery in Meridian, Idaho, registered in NPPES in January 2007. The authorized official on file is Kirsten Grunzke, Practice Administrator.

Overview

NPI1871648352
StatusActive
Entity typeOrganization
NPI issuedJan 24, 2007
Last updated in NPPESJun 29, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XM7481ID
Surgery208600000XM8489ID
Surgery208600000XM7975ID
Surgery208600000XM8195ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Surgery providers in Meridian

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