NPI age
19 years
Enumerated 2006-11-28
● Active Type 2 · Organization
The Shoulder Clinic Of Idaho Pllc
The Shoulder Clinic Of Idaho Pllc 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
Goodwin
Owner
Last NPPES update
2023-03-14
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
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
8854 W Emerald St, Ste 102
Boise, ID 837044844
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 836425618
Authorized official
Thomas Earl Goodwin, M.D.
Owner
📞 2083234747
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Thomas Chopp, MD Orthopaedic Surgery NPI 1720081060
- Kathryn Colson, PA-C Physician Assistant NPI 1457363970
- Timothy Doerr, M.D. Orthopaedic Surgery NPI 1083663868
- Stephanie Hernley, PT Physical Therapist NPI 1932109501
- Jeffrey Hessing, M.D. Orthopaedic Surgery NPI 1023068194
- Kevin Saul Physical Therapist NPI 1821143249
- Kelly Vincent, PA-C Physician Assistant NPI 1194190637
- Troy Watkins, M.D. Orthopaedic Surgery NPI 1083654305
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...
Practice context
Multi-provider organization. 8 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.