1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

IDAHO FALLS SURGICAL CENTER
NPI 1952568099
Nurse Anesthetist, Certified Registered in Idaho Falls, ID

Active since May 16, 2008
1945 E 17TH ST, IDAHO FALLS, ID 83404(208) 529-1945 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Falls Surgical Center NPPES

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

IDAHO FALLS SURGICAL CENTER (NPI 1952568099) is a healthcare organization registered as a nurse anesthetist, certified registered in Idaho Falls, Idaho and active in the NPI registry since May 2008. The organization lists Mark L. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1952568099
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameIDAHO FALLS SURGICAL CENTER
Location Address1945 E 17TH STIdaho Falls, ID 83404-6429
Mailing AddressPo Box 52180Idaho Falls, ID 83405-2180 · (208) 529-1945
Phone(208) 529-1945
Organization SubpartNo
Authorized OfficialMark L. PetersenPresident · (208) 529-1945
Enumeration DateMay 16, 2008
✔ NPI 1952568099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1945 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Identifiers 3

OtherDB0412Railroad Medicare
Medicaid806687900ID
Medicare PIN1375935

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 5

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

IDAHO FALLS SURGICAL CENTER
Anesthesiology
1945 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1945
IDAHO FALLS SURCIGAL CENTER
Clinic/Center (Ambulatory Surgical)
1945 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1945
JON F CHAMPLIN CRNA
Nurse Anesthetist, Certified Registered
1945 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1945
SURGERY CENTER ANESTHESIA PLLC
Anesthesiology
1945 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1945
IDAHO FALLS SURGICAL CENTER
Durable Medical Equipment & Medical Supplies
1945 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-1945

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 Idaho Falls Surgical Center's NPI number?

The NPI number for Idaho Falls Surgical Center is 1952568099. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Idaho Falls Surgical Center located?

Idaho Falls Surgical Center is located at 1945 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 529-1945.

What is Idaho Falls Surgical Center's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Idaho Falls Surgical Center was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.