EAST IDAHO SURGICAL ASSISTING, LLC (NPI# 1205201050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205201050 |
| Entity Type | Organization |
| Organization Name | EAST IDAHO SURGICAL ASSISTING, LLC |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Mailing Address |
1435 Scorpius Dr Idaho Falls ID 83402-1805 |
| Practice Telephone | 2085296111 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | SAMANTHA MOLBERT (OWNER) |
| Authorized Official Telephone | 2142272457 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
151909 | ID | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1821697681 | Taylor Olivia Woodrow | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-10-22 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1487274932 | Bailey Elizabeth Kimbel | Registered Nurse | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841663507 | Samantha Molbert | Specialist/Technologist, Other | 1435 Scorpius Dr, Idaho Falls, ID 83402-1805 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226377 | Linda Krystle Morales Overton | Specialist/Technologist, Other | 1828 S Millenium Way Ste 100, Meridian, ID 83642-5036 | 2018-12-17 |
| 1669978516 | Terra Lee Lawson-gilbert | Specialist/Technologist, Other | 10081 N Government Way, Hayden, ID 83835-9677 | 2018-03-31 |
| 1104205962 | Mary Parsons | Specialist/Technologist, Other | 590 W Two Rivers Dr, Eagle, ID 83616-7121 | 2015-05-27 |
| 1578826194 | Treasure Valley Surgical Assistants | Specialist/Technologist, Other | 128 Peasley St, Boise, ID 83705-1641 | 2012-06-19 |
| 1770865495 | Heidi Davies | Specialist/Technologist, Other | 121 E Victory Rd, Apt L203, Meridian, ID 83642-6633 | 2011-09-20 |
| 1720315823 | Anna's Assisting PC | Specialist/Technologist, Other | 4401 E Tuscany Ave, Nampa, ID 83686-5082 | 2009-11-10 |
| 1740346188 | Vera Pauline Thomas | Specialist/Technologist, Other | 240 S Delphinium Ave, Star, ID 83669-5275 | 2006-12-29 |
| 1184110827 | Kristine Renae Allen | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-07-05 |
| 1639667900 | Ronald Allen Bristow | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-04-23 |
| 1326541079 | Alison Stenson | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.