NPI age
14 years
Enumerated 2011-11-19
● Active
Type 1 · Individual
DR. Ethan Alexander Taub, D.O.
Taub is 1 of 63 surgery providers in Boise and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
ID, TX, IL
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-13
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
14 years
↓ 4 yr below median (18 yr)
State licenses
3 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Practice location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6431 Fannin St, Msb 4.284, Department Of Surgery
Houston, TX 770301501
Specialties
-
Surgery PrimaryA 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...
-
Emergency MedicineAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 320190706 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 260 Surgery providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.