OrganizationActive
Idaho Center for Reproductive Medicine PC
NPI 1063551174 · Reproductive Endocrinology Physician · Boise, ID
Provider details
- NPI number
- 1063551174
- Entity type
- Organization
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Genie Andrews, Bus Admin(208) 342-5900
- License
- M8614 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Main St
Suite 100
Boise, ID 83702-7307
Phone: (208) 342-5900
Fax: (208) 342-2088
Street-level locationGet directions
Mailing address
111 Main St
Boise, ID 83702-7307
Other names (DBA / former)
- Other name
- Icrm PC
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.