SUNNYSIDE SURGERY CENTER, LLC (NPI# 1285825075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285825075 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE SURGERY CENTER, LLC |
| Practice Address |
3345 S Holmes Ave Ste B Idaho Falls ID 83404-7981 |
| Practice Telephone | 2085282858 |
| Practice Fax Number | 2085288022 |
| Mailing Telephone | 2085282858 |
| Mailing Fax Number | 2085288022 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Authorized Official Name | DR. MICHAEL K JAMES (OWNER) |
| Authorized Official Telephone | 2085282858 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
P140-7 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 00010151664 | 01 |
| ID | BLUE CROSS | 04804 | 01 |
| Street Address |
3345 S HOLMES AVE STE B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097725 | Center for Surgery Pllc | Clinic/Center | 3369 Merlin Dr Ste A, Idaho Falls, ID 83404-7405 | 2019-11-11 |
| 1497768626 | Idaho Foot Surgery Center PC | Clinic/Center | 1540 Elk Creek Dr., Idaho Falls, ID 83404 | 2006-08-15 |
| 1194735522 | Idaho Surgicenter North LLC | Clinic/Center | 3369 Merlin Dr, Idaho Falls, ID 83404-7405 | 2006-08-08 |
| 1841295227 | Grand Teton Surgical Center LLC | Clinic/Center | 2290 Coronado St, Idaho Falls, ID 83404-7552 | 2005-06-14 |
| 1174005235 | Idaho Falls Asc | Clinic/Center | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1225488216 | Madison Avenue Surgery Center LLC | Clinic/Center | 1855 Madison Avenue, Idaho Falls, ID 83404 | 2016-06-21 |
| 1396100491 | Madison Avenue Surgery Center LLC | Clinic/Center | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2015-12-16 |
| 1922442805 | Kovac Foot Surgery Center Pllc | Clinic/Center | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2013-04-23 |
| 1629145685 | Idaho Eye Center Pa | Clinic/Center | 2025 E 17th St, Idaho Falls, ID 83404 | 2006-11-28 |
| 1053481218 | Idaho Falls Surcigal Center | Clinic/Center | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2006-11-08 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on SUNNYSIDE SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.