OrganizationActive
Madison Avenue Surgery Center LLC
NPI 1396100491 · Ambulatory Surgical Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1396100491
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Freeman, President(208) 881-5351
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3760 Washington Pkwy
Idaho Falls, ID 83404-7593
Phone: (208) 881-5351
Street-level locationGet directions
Mailing address
3760 Washington Pkwy
Idaho Falls, ID 83404-7593
Registry dates
- Enumerated
- 2015-12-16
- Last updated
- 2015-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.