OrganizationActive
Victory Surgical Services PLLC
NPI 1114412731 · Surgery Physician · Boise, ID
Victory Surgical Services PLLC is a Surgery Physician organization in Boise, ID (NPI 1114412731).
Provider details
- NPI number
- 1114412731
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keri Hine, Administrator(208) 321-4790
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
8854 W Emerald St Ste 140
Boise, ID 83704
Phone: (208) 321-4790
Fax: (208) 321-4836
Street-level locationGet directions
Mailing address
8854 W Emerald St Ste 140
Boise, ID 83704-4845
Registry dates
- Enumerated
- 2018-06-26
- Last updated
- 2018-08-30
Frequently asked questions
- What is Victory Surgical Services PLLC's NPI number?
- Victory Surgical Services PLLC's National Provider Identifier (NPI) is 1114412731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Surgical Services PLLC?
- Victory Surgical Services PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Victory Surgical Services PLLC located?
- Victory Surgical Services PLLC's practice location on file with NPPES is 8854 W Emerald St Ste 140, Boise, ID 83704.
- What is Victory Surgical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Surgical Services PLLC is (208) 321-4790.
- Who is the authorized official for Victory Surgical Services PLLC?
- The authorized official listed on Victory Surgical Services PLLC's NPPES record is Keri Hine, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Surgical Services PLLC's NPI active?
- Yes — Victory Surgical Services PLLC's NPI (1114412731) is active in the NPPES registry as of the last update on 2018-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.