SUSAN J. HEGSTAD, M.D., PA (NPI# 1487958161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487958161 |
| Entity Type | Organization |
| Organization Name | SUSAN J. HEGSTAD, M.D., PA |
| Practice Address |
222 N 2nd St Ste 102 Boise ID 83702-6129 |
| Practice Telephone | 2083441281 |
| Mailing Telephone | 2083441281 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | DR. SUSAN J HEGSTAD (OWNER) |
| Authorized Official Telephone | 2083441281 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
222 N 2ND ST STE 102 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992249 | James A Olson | Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2005-09-13 |
| 1306870761 | Sumiko Joan Hegstad | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2006-07-10 |
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|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899973 | Russell H Griffiths Md Pa | Plastic Surgery | 100 E Idaho St Ste 303, Boise, ID 83712-6269 | 2008-04-23 |
| 1841307147 | Thomas D Mckim | Plastic Surgery | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2006-08-23 |
| 1245645589 | Jason Nealy | Plastic Surgery | 4305 N Eagle Rd, Boise, ID 83713-4722 | 2014-06-25 |
| 1003125758 | Jordan E Miller | Plastic Surgery | 777 N Raymond St, Boise, ID 83704-9251 | 2010-09-29 |
| 1689860736 | Dean Sorensen | Plastic Surgery | 250 Bobwhite Ct, 275, Boise, ID 83706-6643 | 2007-09-22 |
| 1306870761 | Sumiko Joan Hegstad | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2006-07-10 |
| 1811943285 | Dinu Mistry Wolf | Plastic Surgery | 341 E Bannock St, Boise, ID 83712-6208 | 2006-05-26 |
| 1134181621 | Jonathan D Kramer | Plastic Surgery | 100 E Idaho St, Suite 301, Boise, ID 83712-6267 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228737 | Mark E Freeman M.d. PC | Plastic Surgery | 3760 Washington Parkway, Idaho Falls, ID 83404 | 2014-01-14 |
| 1467704049 | Bruce Alan Kaplan | Plastic Surgery | 190 Bigwood Drive South, Ketchum, ID 83340 | 2012-10-08 |
| 1043578115 | David Lyons Dingman | Plastic Surgery | 10 Lone Pine Rd, Hailey, ID 83333-5172 | 2012-04-26 |
| 1730450016 | Michael Gregory Pugsley-christensen | Plastic Surgery | 4790 Inverness Drive, Post Falls, ID 83854 | 2012-01-19 |
| 1770589814 | Dell P Smith | Plastic Surgery | 1880 Fillmore St, Twin Falls, ID 83301-3049 | 2005-06-23 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1831534924 | Mark E Freeman Md PC | Plastic Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2013-05-03 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| 1447368758 | William P.d. Wilson IIi | Plastic Surgery | 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | 2006-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.