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

Summit Cardiovascular Group LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1063123578

Summit Cardiovascular Group LLC is an Ambulatory Surgical Clinic/Center in Boise, Idaho. Registered with an NPI since 2022.

In the registry since
2022
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

8854 W Emerald St Ste 260
Boise, ID 83704-4860
Phone: (615) 423-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1063123578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Bloebaum — Vice President, Operational Integra · (615) 423-1159
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address8854 W Emerald St Ste 260, Boise, ID 83704-4860

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