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SURGICAL ASSOCIATES OF SOUTHERN ID
NPI 1033259700
Physician Assistant - Surgical in Twin Falls, ID

Active since February 08, 2007
650 ADDISON AVE W, TWIN FALLS, ID 83301(208) 737-2112 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Surgical Associates Of Southern Id NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ASSOCIATES OF SOUTHERN ID (NPI 1033259700) is a healthcare organization registered as a surgical in Twin Falls, Idaho and active in the NPI registry since February 2007. The organization lists Scott Schrader, President, as its authorized official.

NPPES Registry Identity

NPI1033259700
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSURGICAL ASSOCIATES OF SOUTHERN ID
Location Address650 ADDISON AVE WTwin Falls, ID 83301-5444
Mailing AddressPo Box 1657Twin Falls, ID 83303-1657 · (208) 734-3356
Phone(208) 737-2112
Organization SubpartNo
Authorized OfficialScott SchraderPresident · (208) 736-4568
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1033259700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ID · PA271
650 ADDISON AVE W, Twin Falls, ID 83301
Open in Google Maps ↗

Other Identifiers 4

OtherPAWT9ID · Blue Cross
Other000010151672ID · Blue Shield
Medicaid805592000ID
Medicare PIN1379299ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES SPENCER HANSEN PT
Physical Therapist
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2000
NICHOLAS J PERIUS PA
Physician Assistant
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
CHAD F COLVIN D.O.
Emergency Medicine
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
MAGIC VALLEY REGIONAL MEDICAL CENTER
General Acute Care Hospital
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2112
ELVA M MCNURLIN
Dietitian, Registered
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
DR. DANIEL CONSTANTINE ALDER M.D.
Radiology (Diagnostic Radiology)
650 ADDISON AVE W, RADIOLOGY DEPARTMENT
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192
PHILIP M NELSON MD
Emergency Medicine
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
MAGIC VALLEY REGIONAL MEDICAL CENTER
General Acute Care Hospital
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Associates Of Southern Id's NPI number?

The NPI number for Surgical Associates Of Southern Id is 1033259700. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Surgical Associates Of Southern Id located?

Surgical Associates Of Southern Id is located at 650 Addison Ave W, Twin Falls, ID 83301. The listed phone number is (208) 737-2112.

What is Surgical Associates Of Southern Id's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Southern Id was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.