Sipi ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SIPI ASC LLC

Practice address

176 Falls Ave
Twin Falls, ID 83301-2306

Phone

(208) 733-3181

Fax

(208) 733-3168

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Denise Rue

Title

Office Manager

Phone

(208) 733-3181

Specialties & licenses 1

Addresses

Other names 1

• SIPI AMBULATORY SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1205540002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012306",
            "telephone_number": "208-733-3181",
            "fax_number": "208-733-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012306",
            "telephone_number": "208-733-3181",
            "fax_number": "208-733-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIPI ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "RUE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-733-3181"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIPI AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey N Silvester, DO
• Mason D Simkins, PA-C
• Drew Bradley Simmons, NP
• Kate Simonds, COUI
• Sipi Ambulatory Surgery Center
• Sipi Clinic LLC
• Jillian Marjorie Sirucek Adepoju, D.C.
• Anthony James Sirucek, D.C.
• Amanda Elizabeth Sisneros, MS CCC-SLP
• Sitman, Inc.

• Ambulatory Surgical Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.