1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Clinic Center
  6. NPI Profile

MADISON AVENUE SURGERY CENTER LLC
NPI 1396100491
Clinic/Center - Ambulatory Surgical in Idaho Falls, ID

Active since December 16, 2015
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 881-5351 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Avenue Surgery Center Llc NPPES

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

MADISON AVENUE SURGERY CENTER LLC (NPI 1396100491) is a healthcare organization registered as an ambulatory surgical in Idaho Falls, Idaho and active in the NPI registry since December 2015. The organization lists Mark Edward Freeman, President, as its authorized official.

NPPES Registry Identity

NPI1396100491
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMADISON AVENUE SURGERY CENTER LLC
Location Address3760 WASHINGTON PKWYIdaho Falls, ID 83404-7593
Mailing Address3760 Washington PkwyIdaho Falls, ID 83404-7593 · (208) 881-5351
Phone(208) 881-5351
Organization SubpartNo
Authorized OfficialMark Edward FreemanPresident · (208) 881-5351
Enumeration DateDecember 16, 2015
✔ NPI 1396100491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3760 WASHINGTON PKWY, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

MR. RICHARD A TROYER LCPC
Counselor
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
HUMAN DYNAMICS & DIAGNOSTICS
Counselor (Addiction (Substance Use Disorder))
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 528-5466
HUMAN DYNAMICS & DIAGNOSTICS
Community/Behavioral Health
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
SUMMIT HEALTH PROFESSIONALS
Community/Behavioral Health
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4953
MR. MICHAEL TERRY HARTLEY LCSW
Social Worker (Clinical)
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 681-1872
DR. KIERSTIN NEBEKER DNP
Nurse Practitioner (Family)
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 881-5779
BMH, INC.
Dermatology
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-3637
MARK E FREEMAN MD PC
Plastic Surgery
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 881-5351

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 Madison Avenue Surgery Center LLC's NPI number?

The NPI number for Madison Avenue Surgery Center LLC is 1396100491. It was assigned to this organization in the NPPES registry on December 16, 2015.

Where is Madison Avenue Surgery Center LLC located?

Madison Avenue Surgery Center LLC is located at 3760 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 881-5351.

What is Madison Avenue Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Madison Avenue Surgery Center LLC was last updated on December 16, 2015. 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.