NPI age
18 years
Enumerated 2008-04-23
● Active Type 2 · Organization
Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.
Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is 1 of 24 plastic surgery organizations in Idaho.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Griffiths
President
Last NPPES update
2023-05-08
Source: monthly bulk 2026-05
How this organization compares
Across 24 active plastic surgery providers in Idaho.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
100 E Idaho Street, Suite 303
Boise, ID 837126269
Mailing address
100 E Idaho Street, Suite 303
Boise, ID 837126269
Authorized official
Russell H Griffiths, MD
President
📞 2084331736
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Earl Gage, MD Plastic Surgery NPI 1134302433
Specialties
-
Plastic Surgery PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805132700 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Russell H Griffiths, MDPA
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.