Idaho Surgical Assistants PLLC
NPI 1225389414 · Physician Assistant · Boise, ID
Idaho Surgical Assistants PLLC is a Physician Assistant organization in Boise, ID (NPI 1225389414).
Provider details
- NPI number
- 1225389414
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Reanna Park, Billing Specialist(208) 525-2090
- License
- PA-325 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-09-27
- Last updated
- 2012-09-27
Frequently asked questions
- What is Idaho Surgical Assistants PLLC's NPI number?
- Idaho Surgical Assistants PLLC's National Provider Identifier (NPI) is 1225389414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Surgical Assistants PLLC?
- Idaho Surgical Assistants PLLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Idaho Surgical Assistants PLLC located?
- Idaho Surgical Assistants PLLC's practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Idaho Surgical Assistants PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Surgical Assistants PLLC is (208) 381-2185.
- Who is the authorized official for Idaho Surgical Assistants PLLC?
- The authorized official listed on Idaho Surgical Assistants PLLC's NPPES record is Reanna Park, Billing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Surgical Assistants PLLC's NPI active?
- Yes — Idaho Surgical Assistants PLLC's NPI (1225389414) is active in the NPPES registry as of the last update on 2012-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.