Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clearwater Advanced Surgical Associates LLC

Organization Surgery Physician · NPI 1508702275

Clearwater Advanced Surgical Associates LLC is a Surgery Physician in Eagle, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1281 E Iron Eagle Dr
Eagle, ID 83616-6599
Phone: (208) 985-6179
Fax: (833) 468-5265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1508702275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rashna Ginwalla — Owner · (208) 900-8087
NPI enumeratedApril 27, 2026
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026
Mailing address1775 W State St, Boise, ID 83702-3924

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