NPI age
8 years
Enumerated 2017-09-13
● Active Type 2 · Organization
Subpart
Ambulatory Surgery Center Of Burley, Llc
Ambulatory Surgery Center Of Burley, Llc is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petersen
Ceo
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1344 Hiland Ave Ste E
Burley, ID 833181564
Mailing address
1344 Hiland Ave Ste E
Burley, ID 833181564
Authorized official
Joseph R Petersen, MD
Ceo
📞 2086778888
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ambulatory Surgery Center of Burley Anesthesia
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ambulatory Surgery Center Of Burley, Llc.
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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.