EAST IDAHO SURGICAL ASSISTING, LLC
NPI 1205201050
Specialist/Technologist, Other - Surgical Assistant in Idaho Falls, ID

Active since December 04, 2015
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6111 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2016, Dec 4, 2015 (2 updates tracked since 2015).

About East Idaho Surgical Assisting, Llc NPPES

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

EAST IDAHO SURGICAL ASSISTING, LLC (NPI 1205201050) is a healthcare organization registered as a surgical assistant in Idaho Falls, Idaho and active in the NPI registry since December 2015. The organization lists Samantha Molbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1205201050
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameEAST IDAHO SURGICAL ASSISTING, LLC
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address1435 Scorpius DrIdaho Falls, ID 83402-1805 · (214) 227-2457 · Fax (214) 764-0880
Organization SubpartNo
Authorized OfficialSamantha MolbertOwner · (214) 227-2457
Enumeration DateDecember 4, 2015
Last NPPES UpdateJanuary 28, 20162 updates tracked since enumeration
NPI 1205201050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in ID · 151909
Definition
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.
3100 CHANNING WAY, Idaho Falls, ID 83404

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404

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 East Idaho Surgical Assisting, LLC's NPI number?

The NPI number for East Idaho Surgical Assisting, LLC is 1205201050. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is East Idaho Surgical Assisting, LLC located?

East Idaho Surgical Assisting, LLC is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6111.

What is East Idaho Surgical Assisting, LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for East Idaho Surgical Assisting, LLC was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.