Idaho Falls Surcigal Center
NPI 1053481218 · Ambulatory Surgical Clinic/Center · Idaho Falls, ID
Idaho Falls Surcigal Center is a Ambulatory Surgical Clinic/Center organization in Idaho Falls, ID (NPI 1053481218).
Provider details
- NPI number
- 1053481218
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, President(208) 529-1945
- License
- 13-C0001000 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Idaho Falls Surgical Center Asc
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2008-06-09
Frequently asked questions
- What is Idaho Falls Surcigal Center's NPI number?
- Idaho Falls Surcigal Center's National Provider Identifier (NPI) is 1053481218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Falls Surcigal Center?
- Idaho Falls Surcigal Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Idaho Falls Surcigal Center located?
- Idaho Falls Surcigal Center's practice location on file with NPPES is 1945 E 17th St, Idaho Falls, ID 83404-6429.
- What is Idaho Falls Surcigal Center's phone number?
- The practice phone number listed in the NPPES registry for Idaho Falls Surcigal Center is (208) 529-1945.
- Who is the authorized official for Idaho Falls Surcigal Center?
- The authorized official listed on Idaho Falls Surcigal Center's NPPES record is Mark Petersen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Falls Surcigal Center's NPI active?
- Yes — Idaho Falls Surcigal Center's NPI (1053481218) is active in the NPPES registry as of the last update on 2008-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.