Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Falls Surgical Center

Organization Certified Registered Nurse Anesthetist · NPI 1952568099

Idaho Falls Surgical Center provides Certified Registered Nurse Anesthetist services in Idaho Falls, Idaho. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1945 E 17th St
Idaho Falls, ID 83404-6429 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 529-1945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1952568099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Petersen — President · (208) 529-1945
NPI enumeratedMay 16, 2008
Last updated in NPPESMay 16, 2008
Mailing addressPo Box 52180, Idaho Falls, ID 83405-2180

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