P Praxis·MD
● Active Type 2 · Organization

Boise Surgical Group

Surgery·Meridian, ID· NPI 1871648352 · Enumerated 2007 · 19 years on NPI
Boise Surgical Group is 1 of 260 surgery organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-24
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grunzke
Practice Administrator
Last NPPES update
2010-06-29
Source: monthly bulk 2026-05

How this organization compares

Across 260 active surgery providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3399 E. Louise Dr., #400
Meridian, ID 83642
📞 2083643000fax 2083643191
Mailing address
3399 E. Louise Dr., #400
Meridian, ID 83642
📞 2083643000fax 2083643191

Authorized official

Kirsten Grunzke
Practice Administrator
📞 2083643000

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M7481ID license #M8489ID license #M7975ID license #M8195 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (ID) CI1633 RAILROAD MEDICARE
05 (ID) 002354900

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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