P Praxis·MD
● Active Type 1 · Individual

DR. Forrest R Fredline, DO

Surgery·Nampa, ID· NPI 1245493840 · Enumerated 2008 · 17 years on NPI
Fredline is 1 of 10 surgery providers in Nampa and 1 of 260 in Idaho.
NPI age
17 years
Enumerated 2008-07-03
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
4400 E Flamingo Ave Ste 200
Nampa, ID 83687
📞 2083022700fax 2083022725
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083022700fax 2083022725

Specialties

  • Surgery Primary
    A 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...
    ID license #O-0712MI license #5101017665 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 12 other active providers share 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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