NPIMap

Organization Active NPI

Vascular Surgery Center of Excellence PLLC

  • Vascular Surgery Physician
  • Twin Falls, ID
National Provider Identifier
1851171409
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR SURGERY CENTER OF EXCELLENCE PLLC
Practice address
512 Pole Line Rd
Twin Falls, ID 83301-6367
Phone
(231) 429-4013
NPI assigned
Oct 2, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Elliot McNamara Adams, MDNPI 1033597232
Title
President
Phone
(231) 429-4013

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
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

512 Pole Line Rd
Twin Falls, ID 83301-6367

Mailing address

1205 White Birch Ave
Twin Falls, ID 83301-6058
Phone (231) 429-4013

National Provider Directory

National Provider Directory

Locations

512 Pole Line Rd
Twin Falls, ID 83301
Phone (208) 302-3311

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1851171409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WHITE BIRCH AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016058",
            "telephone_number": "231-429-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016367",
            "telephone_number": "231-429-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY CENTER OF EXCELLENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "MCNAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-429-4013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

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