NPI age
13 years
Enumerated 2012-09-27
● Active Type 2 · Organization
Idaho Surgical Assistants Pllc
Idaho Surgical Assistants Pllc is 1 of 1263 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Park
Billing Specialist
Last NPPES update
2012-09-27
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
13 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
1601 E 17th St
Idaho Falls, ID 834046313
Authorized official
Reanna Park
Billing Specialist
📞 2085252090
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Aaron Ackerson, ACNPC-AG Nurse Practitioner NPI 1982329751
- Sariah Adams Registered Nurse NPI 1801737978
- Grace Adamson, MD Family Medicine NPI 1497246136
- J Thomas Ahlquist, MD Emergency Medicine NPI 1598703902
- Dawn Aiken, NP Nurse Practitioner NPI 1295175313
- Staci Albers Physical Therapy Assistant NPI 1184085748
- Diana Alexander, MD Pediatrics NPI 1528004702
- Tammy Allen, NP Nurse Practitioner NPI 1669496436
- Vivian Allman, LMSW Social Worker NPI 1194460873
- Ashley Alloway, LMSW Social Worker NPI 1205297348
- Amy Ambrosier, PA-C Physician Assistant NPI 1073898821
- Lucille Anderson, OTR/L Occupational Therapist NPI 1285490573
- Stephanie Anderson, PHARMD Pharmacist NPI 1528794393
- Nathan Andrew, MD Emergency Medicine NPI 1346295045
- Kelly Andrews, LMSW Social Worker NPI 1750030573
- Karena Apoian, RN Registered Nurse NPI 1770478877
- Aubrey Arensdorf, DO Hospitalist NPI 1366948051
- Megan Ashline, NNP-BC Nurse Practitioner NPI 1922546647
- William Ashline, NNP Nurse Practitioner NPI 1669162137
- Brenda Ausberger, OTR Occupational Therapist NPI 1649728213
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.