IndividualActive
Andrew Shay, MD
NPI 1215165162 · Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1215165162
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- RS20090316 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Phone: (208) 381-6930
Fax: (208) 381-6931
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 1707 W Charleston BlvdSuite 160Las Vegas, NV 89102-2351Phone: (702) 671-5150Fax: (702) 384-6493
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.