OrganizationActive
Spine Institute of Idaho P a
NPI 1659380269 · Orthopaedic Surgery of the Spine Physician · Meridian, ID
Provider details
- NPI number
- 1659380269
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Cooper, Office Asst Administrator(208) 855-2900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
360 E Montvue Dr
Suite 100
Meridian, ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 898-9877
Street-level locationGet directions
Mailing address
360 E Montvue Dr
Meridian, ID 83642-6318
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2016-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.