SURGICAL GROUP P.A. NPI 1609839398

NPI Information

  • NPI: 1609839398
  • Provider Name: SURGICAL GROUP, P.A.
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 404 E ELM ST
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 459-0028

Map and Directions

Get Directions

NPI Details

SURGICAL GROUP, P.A. is a surgery in Caldwell, ID. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SURGICAL GROUP, P.A. NPI is 1609839398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 E ELM ST
CALDWELL, ID
ZIP 83605-846
Phone: (208) 459-0028
Fax: (208) 459-0380

The provider's authorized official is Jon Agee .
The authorized official title is President and has the following contact phone number (208) 459-0028.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 4/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
187460OTHERIDAHOBLUE CROSS OF IDAHO
2002483000MEDICAIDIDAHO
31371297MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI