Scott R Hiatt
Cardiothoracic Vascular Surgeon
1524 12th Ave Rd
Nampa
, Idaho 83686-6008
Scott R Hiatt
Cardiothoracic Vascular Surgeon
1524 12th Ave Rd
Nampa
, Idaho 83686-6008
(208) 463-5040
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Scott R Hiatt
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Fax : (208) 463-5040
- Phone : (208) 463-5050
Second Address
- Scott R Hiatt
- 1524 12th Ave Rd
- Nampa, ID
- Zip : 83686-6008
- Fax : (208) 463-5040
- Phone : (208) 463-5050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | O289 | ID |
National Provider Identifier
| NPI | 1093705030 |
|---|---|
| Provider Name | Scott R Hiatt |
| First Address | Boise, ID 83712-6241 |
| Second Address | Nampa, ID 83686-6008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2005 |
| Last Update Date | 21/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010149338 | BLUE SHIELD (01) | ID |
| 806467500 | (05) | ID |
| G17120 | (02) | |
| S5486 | BLUE CROSS (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.