Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Neurosurgry of Idaho PC

Organization Neurological Surgery Physician · NPI 1750337978

Pediatric Neurosurgry of Idaho PC provides Neurological Surgery Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Idaho St
Boise, ID 83712-6270 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 381-7360
Fax: (208) 381-7361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence M8385 (ID)

Record details

NPI number1750337978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Cherny — Owner · (208) 381-7360
NPI enumeratedMay 26, 2006
Last updated in NPPESMay 26, 2008
Mailing address6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880

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