P Praxis·MD
● Active Type 1 · Individual

Keith G Holley, MD

Orthopaedic Surgery·Nampa, ID· NPI 1386616183 · Enumerated 2006 · 20 years on NPI
Holley is 1 of 1 orthopaedic surgery providers in Nampa and 1 of 9 in Idaho.
NPI age
20 years
Enumerated 2006-02-06
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9 active orthopaedic surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
4424 E Flamingo Ave, Suite 110
Nampa, ID 83687
📞 2082884700fax 2082884720
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083675170fax 2083675180

Specialties

  • Orthopaedic Surgery Primary
    Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee),...
    ID license #M-11367WA license #MD00045579 taxonomy 207XS0114X

Identifiers

TypeValueNotes
05 (ID) 1386616183
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 14 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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