Idaho Falls Surgical Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IDAHO FALLS SURGICAL CENTER

Practice address

1945 E 17TH St
Idaho Falls, ID 83404-6429

Phone

(208) 529-1945

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven V Klippert, MD

Title

President

Phone

(208) 529-1945

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1003994237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52180",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834052180",
            "telephone_number": "208-523-4906",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046429",
            "telephone_number": "208-529-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FALLS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "KLIPPERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-529-1945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Falls Pulmonary Sleep & Critical Care Specialists
• Idaho Falls Recovery Center
• Idaho Falls School District 91
• Idaho Falls Smiles, PLLC
• Idaho Falls Surcigal Center
• Idaho Falls Surgical Center
• Idaho Falls Surgical Center
• Idaho Falls Surgical Specialists, PLLC
• Idaho Family Vision PLLC (Family Vision Associates)
• Idaho Foot Center

• Anesthesiology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Anesthesiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.