ADDISON SURGERY CENTER (NPI# 1811992811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811992811 |
| Entity Type | Organization |
| Organization Name | ADDISON SURGERY CENTER |
| Practice Address |
191 Addison Ave Ste 1 Twin Falls ID 83301-5177 |
| Practice Telephone | 2087345993 |
| Practice Fax Number | 2087361968 |
| Mailing Telephone | 2087345993 |
| Mailing Fax Number | 2087361968 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID BLACKMER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2087345993 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8042431 | 05 |
| Street Address |
191 ADDISON AVE STE 1 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592404 | Jason B Devries | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2007-08-08 |
| 1295890648 | Blackmer Foot & Ankle Group Pa | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-12-26 |
| 1396847125 | David A Blackmer | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-09-02 |
| 1952414609 | Addison Surgery Center Inc | Clinic/Center | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636752 | River View Surgery Center, LLC | Clinic/Center | 1502 Locust St N Ste 100, Twin Falls, ID 83301-4163 | 2017-01-30 |
| 1336240670 | Southern Idaho Pain Institute P.C. | Clinic/Center | 236 Martin St., Twin Falls, ID 83301 | 2006-09-26 |
| 1497745178 | Surgery Center | Clinic/Center | 115 Falls Ave W, Twin Falls, ID 83301 | 2005-10-25 |
| 1518272087 | Sipi Ambulatory Surgery Center | Clinic/Center | 176 Falls Avenue, Twin Falls, ID 83301 | 2010-08-09 |
| 1154577203 | Center for Plastic Surgery, LLC | Clinic/Center | 1880 Fillmore Street, Twin Falls, ID 83301-3015 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835713 | Idaho Endoscopy Center LLC | Clinic/Center | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1467097725 | Center for Surgery Pllc | Clinic/Center | 3369 Merlin Dr Ste A, Idaho Falls, ID 83404-7405 | 2019-11-11 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1558733147 | River City Surgical Center | Clinic/Center | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-22 |
| 1821420571 | Upper Valley Surgery Center | Clinic/Center | 256 N 200 E, Rexburg, ID 83440-2048 | 2013-08-05 |
| 1669720397 | Pleasant View Surgery Center, LLC | Clinic/Center | 4171 West Expo Parkway, Post Falls, ID 83854 | 2012-08-28 |
| 1851552483 | Skyline Surgery Center, LLC | Clinic/Center | 285 Vista Dr, Ste C, Pocatello, ID 83201 | 2008-06-17 |
| 1255500427 | Les Bois Surgery Center, LLP | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2008-02-21 |
| 1740479476 | Meadow Lake Surgery Center Inc | Clinic/Center | 3630 E Louise Dr, Suite 200, Meridian, ID 83642-7975 | 2007-10-18 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.