Organization
CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA
Active
Organization
CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA
Active
Other names
Cardiothoracic & Vascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTA HESGARD (ADMINISTRATOR)
(208) 345-6545
Entity
Organization
Contact information
Practice address
333 N. 1ST ST., #280, BOISE, ID 83702
(208) 345-6545
(208) 345-1213
Mailing address
333 N. 1ST ST., #280, BOISE, ID 83702
(208) 345-6545
(208) 345-1213
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010026913
BLUE SHIELD
ID
05
—
049841
—
OR
01
—
89508
BLUE CROSS
ID
01
—
CO3057
RRMC
ID
Enumeration date
05/16/2006
Last updated
09/11/2025
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