NPI age
20 years
Enumerated 2005-10-24
● Active
Type 1 · Individual
Kenneth Madsen, MD
Madsen is 1 of 16 surgery providers in Boise and 1 of 38 in Idaho.
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
ID, WY, NC, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 38 active surgery providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
4 states
Top 57% — 42% of peers are multi-state
Subspecialties
1
In the 55% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
1075 N Curtis Rd Ste 101
Boise, ID 837061348
Mailing address
3810 Northdale Blvd, Ste 150
Tampa, FL 336241871
Additional practice locations
1 secondary location on file with NPPES.
Location 2
208 Cox Blvd Ste 201
Goldsboro, NC 275349414
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 01371657 | |
| 05 (WY) | 121692900 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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