NPI age
18 years
Enumerated 2008-04-09
● Active Type 2 · Organization
Ada Plastic And Reconstructive Surgery
Ada Plastic And Reconstructive Surgery is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McKim
Owning Physician
Last NPPES update
2008-04-11
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
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
900 N Liberty St, Suite 300
Boise, ID 837048704
Mailing address
900 N Liberty St, Suite 300
Boise, ID 837048704
Authorized official
Thomas D McKim, M.D.
Owning Physician
📞 2083676901
Individual providers at this organization
17 individual providers on file at this primary practice address.
- Michael Bateman, AU.D. Audiologist NPI 1538456900
- Renee Bobrowski, MD Obstetrics & Gynecology NPI 1669416954
- Emily Clay, RDN, LD Dietitian, Registered NPI 1659909935
- Gerard Connor, MD Obstetrics & Gynecology NPI 1669470274
- Valerie Dawidczik, NP Nurse Practitioner NPI 1962438382
- Linsey Etherington, MD Surgery NPI 1336309434
- Eric Garner, M.D. Otolaryngology NPI 1225011893
- Rita Harding, DDS Dentist NPI 1487682456
- Arthur Jones, M.D. Otolaryngology NPI 1659354223
- Christina Knutson, MD Obstetrics & Gynecology NPI 1649212119
- Polina Kokoulina, PA-C Physician Assistant NPI 1013342468
- Dana Owen, D.P.M. Podiatrist NPI 1972595676
- James Owen, D.P.M. Podiatrist NPI 1306838016
- Melissa Rincon, LMT Massage Therapist NPI 1346601176
- Todd Rustad, M.D. Otolaryngology NPI 1306829973
- Elizabeth Rutten-Turner, LCSW Social Worker NPI 1508268616
- Matthew Schwarz, M.D. Otolaryngology NPI 1992788434
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 17 individual providers 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.