P Praxis·MD
● Active Type 1 · Individual

Earl Anthony Gage, MD

Plastic Surgery·Boise, ID· NPI 1134302433 · Enumerated 2007 · 18 years on NPI
Gage is 1 of 9 plastic surgery providers in Boise and 1 of 24 in Idaho.
NPI age
18 years
Enumerated 2007-12-10
Primary specialty
Plastic Surgery
Plus 1 subspecialty
Licensed in
ID, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 24 active plastic surgery providers in Idaho.

NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
100 E Idaho Street, Suite 303
Boise, ID 837126269
📞 3142514772fax 3142515772
Mailing address
100 E Idaho Street, Suite 303
Boise, ID 837126269
📞 2084331736fax 2084331738

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    ID license #M-17141MO license #2012011130 taxonomy 208200000X

Identifiers

TypeValueNotes
05 (ID) 1134302433
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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