NPIMap

Organization Active NPI

Paramount Surgical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1366292310
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARAMOUNT SURGICAL SERVICES LLC
Practice address
2092 Dawson Dr
Twin Falls, ID 83301-3195
Phone
(208) 933-4485
Fax
(208) 933-4486
NPI assigned
Mar 25, 2024
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Dr. Joel Hancock, MDNPI 1235584533
Title
Ceo
Phone
(208) 933-4485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2092 Dawson Dr
Twin Falls, ID 83301-3195

Mailing address

2095 Dawson Dr
Twin Falls, ID 83301-3195
Phone (208) 933-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250211000018 ID Part B Supplier - Ambulatory Surgical Center 7416487178 Receives reassigned benefits from 8 practitioners
Practice locations: Twin Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366292310. Details of each certification follow.

Ambulatory surgical center certification: CCN 13C0001108

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Paramount Surgical Services LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 30, 2025
Last certification
Jan 7, 2025
Facility address
2092 Dawson Dr
Twin Falls, ID 83301

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2309472Paramount Surgical Services2092 Dawson Dr, Twin Falls, ID 83301Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1366292310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 DAWSON DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013195",
            "telephone_number": "208-933-4485",
            "fax_number": "208-933-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 DAWSON DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013195",
            "telephone_number": "208-933-4485",
            "fax_number": "208-933-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-933-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.