Ambulatory Surgery Center of Burley, LLC
NPI 1780103507 · Certified Registered Nurse Anesthetist · Burley, ID
Ambulatory Surgery Center of Burley, LLC is a Certified Registered Nurse Anesthetist organization in Burley, ID (NPI 1780103507).
Provider details
- NPI number
- 1780103507
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Ambulatory Surgery Center of Burley, LLC
- Organization subpart
- Yes
- Authorized official
- Joseph Petersen, Ceo(208) 677-8888
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- Ambulatory Surgery Center of Burley Anesthesia
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Ambulatory Surgery Center of Burley, LLC's NPI number?
- Ambulatory Surgery Center of Burley, LLC's National Provider Identifier (NPI) is 1780103507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ambulatory Surgery Center of Burley, LLC?
- Ambulatory Surgery Center of Burley, LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ambulatory Surgery Center of Burley, LLC located?
- Ambulatory Surgery Center of Burley, LLC's practice location on file with NPPES is 1344 Hiland Ave Ste E, Burley, ID 83318-1564.
- What is Ambulatory Surgery Center of Burley, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ambulatory Surgery Center of Burley, LLC is (208) 677-8888.
- Who is the authorized official for Ambulatory Surgery Center of Burley, LLC?
- The authorized official listed on Ambulatory Surgery Center of Burley, LLC's NPPES record is Joseph Petersen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ambulatory Surgery Center of Burley, LLC's NPI active?
- Yes — Ambulatory Surgery Center of Burley, LLC's NPI (1780103507) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.