Idaho Falls Surgical Specialists, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IDAHO FALLS SURGICAL SPECIALISTS, PLLC

Practice address

2805 Valencia Dr
Idaho Falls, ID 83404-7597

Phone

(208) 525-9400

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Eric Baird, MDNPI 1376565473

Title

Owner

Phone

(208) 525-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 3

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

• Brett McBride, DO

  • Surgery Physician
  • Idaho Falls, ID
  • NPI 1770017568
  Medicare reassignment Care Compare group NPD
• Michael Cross, M.D.

  • Surgery Physician
  • Murrieta, CA
  • NPI 1053484113

  ID

  Medicare reassignment Care Compare group NPD
• Eric G Baird, M.D.

  • Surgery Physician
  • Idaho Falls, ID
  • NPI 1376565473
  NPD (past) Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1508514407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VALENCIA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047597",
            "telephone_number": "208-525-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VALENCIA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047597",
            "telephone_number": "208-525-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FALLS SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Falls Smiles, PLLC
• Idaho Falls Surcigal Center
• Idaho Falls Surgical Center
• Idaho Falls Surgical Center
• Idaho Falls Surgical Center
• Idaho Family Vision PLLC
• Idaho Foot Center
• Idaho Foot Center PC
• Idaho Foot Surgery Center PC
• Idaho Heart Institute PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.