Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clearwater Advanced Surgical Associates LLC

Organization Surgery Physician · NPI 1508702275

Clearwater Advanced Surgical Associates LLC provides Surgery Physician services in Eagle, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1281 E Iron Eagle Dr
Eagle, ID 83616-6599
Phone: (208) 985-6179
Fax: (833) 468-5265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1508702275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rashna Ginwalla — Owner · (208) 900-8087
NPI enumeratedApril 27, 2026
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026
Mailing address1775 W State St, Boise, ID 83702-3924

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