Spine Institute Of Idaho P A
Orthopaedic Surgery (Orthopaedic Surgery of the Spine) Clinic
360 E Montvue Dr, Suite 100, Meridian
Idaho, 83642-6318
208-855-2900 208-898-9877
Maps & DirectionsSpine Institute Of Idaho P A is a Spine Orthopedic Clinic in Meridian, Idaho. It is situated at 360 E Montvue Dr, Suite 100, Meridian and its contact number is 208-855-2900. The authorized person of Spine Institute Of Idaho P A is Mr. Tyler Cooper
who is Office Asst Administrator of the clinic and their contact number is 208-855-2900.
Spine Institute Of Idaho P A Clinic has spine orthopaedic surgeons who deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Spine Institute Of Idaho P A Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Orthopaedic Surgery of the Spine |
| Clinic Address: | 360 E Montvue Dr, Suite 100, Meridian,
Idaho, 83642-6318 |
| Phone: | 208-855-2900 |
| Fax: | 208-898-9877 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Tyler Cooper |
| Position: | Office Asst Administrator |
| Contact Number: | 208-855-2900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Spine Institute Of Idaho P A Clinic are as mentioned below.
| NPI Number: | 1659380269 |
| NPI Enumeration Date: | 05 Aug, 2006 |
| NPI Last Update On: | 04 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spine Institute Of Idaho P A are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 805983000 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Spine Institute Of Idaho P A
360 E Montvue Dr, Suite 100
Meridian, Idaho |
| Zip: | 83642-6318 |
| Phone Number: | 208-855-2900 |
| Fax Number: | 208-898-9877 |
Patients can reach Spine Institute Of Idaho P A at
360 E Montvue Dr, Suite 100, Meridian, Idaho or can
call to book an appointment on 208-855-2900.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.