OrganizationActive
Addison Surgery Center Inc
NPI 1952414609 · Clinic/Center · Twin Falls, ID
Provider details
- NPI number
- 1952414609
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Blackmer, Podiatrist(208) 734-8441
- License
- P 118 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
191 Addison Ave
Twin Falls, ID 83301-5177
Phone: (208) 734-8441
Fax: (208) 734-5993
Street-level locationGet directions
Mailing address
Po Box 16820
Boise, ID 83715-6820
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2012-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.