NPI age
16 years
Enumerated 2010-03-25
● Active Type 2 · Organization
Southern Idaho Surgery Center Pllc
Southern Idaho Surgery Center Pllc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Michel
President
Last NPPES update
2012-07-09
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3235 N Towerbridge Way Ste 100
Meridian, ID 836465721
Mailing address
3235 N Towerbridge Way Ste 100
Meridian, ID 836465721
Authorized official
Marlon B Michel, MD
President
📞 2088956611
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Allen, CRNA Nurse Anesthetist, Certified Registered NPI 1740304732
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- 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.