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

Idaho Ortho Spine, PLLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1831020726

Idaho Ortho Spine, PLLC is an Orthopaedic Surgery of the Spine Physician in Boise, Idaho. Registered with an NPI since 2026.

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

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Practice location Address checks out

115 W Main St Ste 102
Boise, ID 83702-7304
Phone: (801) 875-1120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1831020726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Sherban — Member · (801) 875-1120
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address115 W Main St Ste 102, Boise, ID 83702-7304

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