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

The Shoulder Clinic of Idaho PLLC

Organization Orthopaedic Surgery Physician · NPI 1821164138

The Shoulder Clinic of Idaho PLLC is an Orthopaedic Surgery Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
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

8854 W Emerald St Ste 102
Boise, ID 83704-4844
Phone: (208) 323-4747
Fax: (208) 323-4848
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1821164138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Goodwin — Owner · (208) 323-4747
NPI enumeratedNovember 28, 2006
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address1940 S Bonito Way Ste 190, Meridian, ID 83642-5618

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