Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER

Practice address

115 Falls Ave W
Twin Falls, ID 83301

Phone

(208) 733-1662

Fax

(208) 734-1023

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Deborah A Wensink

Title

Administrator

Phone

(208) 733-1662

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• dba Sawtooth Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 130075

Legal name

SAWTOOTH SURGERY CENTER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 3, 2021

Last certification

Sep 3, 2021

Beds

4

Ownership / control type

Private (for profit)

Facility address

115 Falls Ave W
Twin Falls, ID 83301

Listed as

Southern Idaho Ambulatory Surgery CenterCCN 13C0001003

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M. Christensen, MD

  • Orthopaedic Surgery Physician
  • Fruitland, ID
  • NPI 1922041961
  NPD
• H Peter Doble II, M.D.

  • Otolaryngology Physician
  • Twin Falls, ID
  • NPI 1881620680
  NPD
• William F May, M.D.

  • Orthopaedic Surgery Physician
  • Twin Falls, ID
  • NPI 1720016231
  NPD

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1497745178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FALLS AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-733-1662",
            "fax_number": "208-734-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FALLS AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-733-1662",
            "fax_number": "208-734-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "WENSINK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-733-1662"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO PPO",
            "identifier": "04473",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLE SHIELD",
            "identifier": "000010004906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID TRAD",
            "identifier": "00331",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805302100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "00331",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Sawtooth Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunbridge Healthcare LLC
• Abbigail Jean Sundell, RDN
• Sunrise Ridge PC
• Sunshine Therapy LLC
• Charlene Surbaugh, R.N., F.A.
• Surgical Associates of Southern Id
• Cherri Anne Suter, MS CCCSLP
• Jayden Sutton
• Audrey Swayze, L.P.C.
• Michael Cameron Sweeney, M.D.

• 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 Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.