NPI age
19 years
Enumerated 2007-01-18
● Active Type 2 · Organization
Idaho Surgical Partners, Pc
Idaho Surgical Partners, Pc is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Yantis
Administrator
Last NPPES update
2024-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
323 E Riverside Dr Ste 220
Eagle, ID 836165246
Mailing address
Po Box 2045
Eagle, ID 836169110
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
166 W Jefferson St
Boise, ID 837026124
Location 3
1906 Fairview Ave Ste 140
Caldwell, ID 836055433
Authorized official
Ami Yantis
Administrator
📞 2086498347
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Matthew MacHa, MD Surgery NPI 1730190836
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002779400 | |
| 05 (ID) | 807305800 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 2 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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