SURGICAL ASSOCIATES OF SOUTHERN ID
NPI 1033259700
Physician Assistant - Surgical in Twin Falls, ID

NPI Status: Active since February 08, 2007

Contact Information

650 ADDISON AVE W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 737-2112

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  • Organization
  • Physician Assistant
  • Surgical

About SURGICAL ASSOCIATES OF SOUTHERN ID

This page provides the complete NPI Profile along with additional information for Surgical Associates Of Southern Id, a provider established in Twin Falls, Idaho operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1033259700 assigned on February 2007. The practitioner's primary taxonomy code is 363AS0400X with license number PA271 (ID). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Scott Schrader Physician Assiatant (President)

NPI
1033259700
Provider Name
SURGICAL ASSOCIATES OF SOUTHERN ID
Entity Type
Organization
Location Address
650 ADDISON AVE W TWIN FALLS, ID 83301
Location Phone
(208) 737-2112
Mailing Address
PO BOX 1657 TWIN FALLS, ID 83303
Mailing Phone
(208) 734-3356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2007
Last Update Date
01-15-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA271
License State
ID

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SCOTT SCHRADER PHYSICIAN ASSIATANT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 736-4568

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PAWT9OTHER (01)IDBLUE CROSS
000010151672OTHER (01)IDBLUE SHIELD
805592000MEDICAID (05)ID 
1379299MEDICARE PIN (08)ID 

Reviews for SURGICAL ASSOCIATES OF SOUTHERN ID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033259700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063451870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 5 + 1 + 8 + 7 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033259700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336111269DR. DANIEL CONSTANTINE ALDER M.D.
Individual
Radiology (Diagnostic Radiology)650 ADDISON AVE W RADIOLOGY DEPARTMENT
TWIN FALLS, ID 83301
(208) 737-2192
1447208947MAGIC VALLEY REGIONAL MEDICAL CENTER
Organization
Psychiatric Hospital650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 814-7459
1952350134MAGIC VALLEY REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 814-7459
1861441040MAGIC VALLEY REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 814-7459
1770532954MAGIC VALLEY REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3000
1184661746 CHAD F COLVIN D.O.
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1295772549 ELVA M MCNURLIN
Individual
Dietitian, Registered650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1700824786 KEVIN G KRAAL MD
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1720026248 KENT H PRESSMAN MD
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1790726834 SAMUEL A BOOTH M.D.
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1154363000 NICHOLAS J PERIUS PA
Individual
Physician Assistant650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1366485708 PHILIP M NELSON MD
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1982647830 ERIC S CASSIDY MD
Individual
Emergency Medicine650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1962445817 HEATHER SHAW
Individual
Dietitian, Registered650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1740223148 SCOTT D SCHRADER P.A.
Individual
Physician Assistant650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 732-3429
1568492155 RONALD DAVID WELLS M.D.
Individual
Anesthesiology650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 734-7362
1477675726DR. JOSHUA E HALL M.D.
Individual
Radiology (Diagnostic Radiology)650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 737-2192
1497085179 DENTON SCOW PT
Individual
Physical Therapist650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 737-2000
1124334560 CHARLES SPENCER HANSEN PT
Individual
Physical Therapist650 ADDISON AVE W
TWIN FALLS, ID 83301
(208) 737-2000
1952791360MR. MARK LAMPRICH LCSW
Individual
Social Worker (Clinical)650 ADDISON AVE W SUITE 400
TWIN FALLS, ID 83301
(208) 733-1624

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033259700, enumerated in the NPI registry as an "organization" on February 08, 2007

The provider is located at 650 Addison Ave W Twin Falls, Id 83301 and the phone number is (208) 737-2112

This medical organization specializes in Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.