NPI age
2 years
Enumerated 2023-10-02
● Active Type 2 · Organization
Vascular Surgery Center Of Excellence Pllc
Vascular Surgery Center Of Excellence Pllc is 1 of 38 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Adams
President
Last NPPES update
2023-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 38 active surgery providers in Idaho.
NPI age
2 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
512 Pole Line Rd
Twin Falls, ID 833016367
Mailing address
1205 White Birch Ave
Twin Falls, ID 833016058
Authorized official
Elliot McNamara Adams, MD
President
📞 2314294013
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Aaron Packham, D.O. Family Medicine NPI 1912356718
- Alexis Rigel Nurse Practitioner NPI 1497426415
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Practice context
Multi-provider organization. 2 individual providers 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.