OrganizationActive
Surgical Specialists of America, LLC
NPI 1780515189 · Clinical Cardiac Electrophysiology Physician · Pocatello, ID
Provider details
- NPI number
- 1780515189
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lance Longmore, Owner(208) 233-2273
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2302 E Terry St
Pocatello, ID 83201-2733
Phone: (208) 233-2273
Street-level locationGet directions
Mailing address
1515 E Clark St
Pocatello, ID 83201-4133
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.