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

Idaho Surgical, LLC

Organization Surgery Physician · NPI 1790340834

Idaho Surgical, LLC is a Surgery Physician in Nampa, Idaho. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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

6195 E Hunt Ave
Nampa, ID 83687-8317
Phone: (208) 639-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 N 2nd St Ste 115, Boise, ID 83702-6129 — (208) 639-4900

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1790340834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bren Heaton — Surgeon/Owner · (208) 854-9828
NPI enumeratedMay 3, 2019
Last updated in NPPESJune 14, 2019
Mailing address1662 S Lake Crest Way, Eagle, ID 83616-7142

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