P Praxis·MD
● Active Type 2 · Organization

Idaho Surgicenter Inc

Clinic/Center·Pocatello, ID· NPI 1992759930 · Enumerated 2006 · 20 years on NPI
Idaho Surgicenter Inc is 1 of 99 clinic/center organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-22
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barnard
Administrator
Last NPPES update
2022-01-31
Source: monthly bulk 2026-05

How this organization compares

Across 99 active clinic/center providers in Idaho.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 11% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1157 Call Place
Pocatello, ID 83201
📞 2082386337fax 2087765510
Mailing address
Po Box 2067
Pocatello, ID 832062067
📞 2082386337fax 2087765510

Authorized official

Sean Barnard
Administrator
📞 2088526242

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Podiatrist
    Definition to come...
    ID license #P166ID license #P92ID license #P153 taxonomy 213ES0103X

Identifiers

TypeValueNotes
01 (ID) 000010027108 BLUE SHIELD
05 (ID) 805730900
01 (ID) P00091636 RAILROAD MEDICARE
01 (ID) 03913 BLUE CROSS
05 (ID) 807288200

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Idaho SurgiCenter South
    Type code 3 recorded 2022-01-31
  • Idaho SurgiCenter South
    Type code 3 recorded 2006-05-22

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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