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NPISignal

Individual Healthcare Provider

Justin Fowler, MD

NPI Record: ActiveSurgery — Surgical Critical Care
NPI1386835585
Boise, Idaho

Provider's NPPES record last updated: December 16, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1386835585
Primary Specialty
Surgery — Surgical Critical Care
Practice Location
Boise, Idaho
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:34 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X
  • Orthopaedic Surgery

    Orthopaedic Trauma

    Allopathic & Osteopathic Physicians

    Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

    Taxonomy code 207XX0801X
  • Military Health Care Provider

    Other Service Providers

    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

    Taxonomy code 171000000X

Provider-Reported License Information

Surgery (Idaho)
M-13069
Orthopaedic Surgery (Idaho)
M-13069
Orthopaedic Surgery (New Mexico)
MD2014-0304
Orthopaedic Surgery (Missouri)
2016027259
Orthopaedic Surgery (Texas)
Q6009
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6165 W Emerald St

Boise, Idaho 83704-8613

Phone: (208) 302-3900

Additional Practice Location

5005 N Piedras St

El Paso, Texas 79920-5001

Phone: (915) 569-2288

Fax: (915) 569-1919

Additional Practice Location

2606 Hospital Blvd Ste E

Corpus Christi, Texas 78405

Phone: (361) 902-4766

Fax: (361) 902-6571

Additional Practice Location

613 Elizabeth St Ste 804

Corpus Christi, Texas 78404-2231

Phone: (361) 217-6264

Additional Practice Location

3551 Roger Brooke Dr

Fort Sam Houston, Texas 78234-4504

Phone: (210) 539-9582

Additional Practice Location

6565 E Carondelet Dr Ste 235

Tucson, Arizona 85710-3533

Phone: (520) 367-1050

Record Information

Enumeration Date
August 5, 2007
Provider's NPPES Record Last Updated
December 16, 2024
Certification Date
December 16, 2024
NPISignal NPPES Dataset
August 2026

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