NPI age
19 years
Enumerated 2006-05-26
● Active Type 2 · Organization
Pediatric Neurosurgry Of Idaho Pc
Pediatric Neurosurgry Of Idaho Pc is 1 of 69 neurological surgery organizations in Idaho.
Primary specialty
Neurological Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cherny
Owner
Last NPPES update
2008-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 69 active neurological surgery providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
100 E Idaho St
Boise, ID 837126270
Mailing address
6140 Curtisian Ave, Suite 400
Boise, ID 837048880
Authorized official
Walter Bruce Cherny, MD
Owner
📞 2083817360
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Shane Ahlers, M.D. Internal Medicine NPI 1861802332
- May Alsanea, PHARMD Pharmacist NPI 1174413439
- Michela Altergott, PHARMD Pharmacist NPI 1730746900
- Suzanne Anstine, MD Obstetrics & Gynecology NPI 1790770246
- R Archibald, MD Obstetrics & Gynecology NPI 1831147248
- Chase Ayres, PHARMD Pharmacist NPI 1922628080
- Viviana Baeza Nunez Massage Therapist NPI 1083487565
- Diane Bartlett, LCSW Social Worker NPI 1750700472
- Joshua Barton, MD Surgery NPI 1265401947
- Bryce Benson Pharmacist NPI 1740828383
- Madison Bernhardt Genetic Counselor, MS NPI 1275029340
- David Bettis, MD Psychiatry & Neurology NPI 1053425603
- Michele Betts, LCSW Social Worker NPI 1548681380
- Tricia Beveridge-Choo, NP Nurse Practitioner NPI 1295053189
- Kacey Blea Physician Assistant NPI 1205561727
- Sarah Bolender, MD Radiology NPI 1811003395
- George Booth, MD Pediatrics NPI 1497708614
- Joanna Bork Dietitian, Registered NPI 1740605740
- Dustin Bowman, PA-C Physician Assistant NPI 1386680239
- Kendra Bowman, MD, PHD Surgery NPI 1811029507
Specialties
-
Neurological Surgery PrimaryA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 8M819 | BLUE CROSS OF IDAHO GROUP |
Practice context
Multi-provider organization. 20 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 →
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