NPI age
19 years
Enumerated 2006-09-21
● Active Type 2 · Organization
Boise Shoulder Clinic, PA
Boise Shoulder Clinic, PA is 1 of 239 orthopaedic surgery organizations in Idaho.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Humphrey
Owner
Last NPPES update
2012-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 239 active orthopaedic 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
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3381 W Bavaria Street
Eagle, ID 836165341
Mailing address
3381 W Bavaria Street
Eagle, ID 836165341
Authorized official
Carl Scott Humphrey, MD
Owner
📞 2086394800
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Carl Humphrey, MD Orthopaedic Surgery NPI 1811978778
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Humphrey Shoulder Clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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