TWIN FALLS IMAGING AND DIAGNOSTIC CENTER (NPI# 1669483509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669483509 |
| Entity Type | Organization |
| Organization Name | TWIN FALLS IMAGING AND DIAGNOSTIC CENTER |
| Practice Address |
562 Shoup Ave W Twin Falls ID 83301-5029 |
| Mailing Address |
Po Box 1808 Twin Falls ID 83303-1808 |
| Practice Telephone | 2087321205 |
| Mailing Telephone | 2087321205 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FREDERICK L SURBAUGH (OWNER) |
| Authorized Official Telephone | 2087343455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
562 SHOUP AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659316875 | Twin Falls Orthopedics, Pllc | Specialist | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-06-19 |
| 1972741882 | Stephanie A Latimer | Registered Nurse | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2009-01-30 |
| 1053589432 | Twin Falls Orthopedics LLC | Nurse Practitioner | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2008-02-19 |
| 1336346469 | Twin Falls Orthopedics Pllc | Nurse Practitioner | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2007-07-02 |
| 1275685356 | Charlene Surbaugh | Registered Nurse | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2007-01-17 |
| 1124185053 | Twin Falls Imaging & Diagnostic Center LLC | Clinic/Center | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2007-01-02 |
| 1922168723 | Patricia Lincoln | Specialist | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-12-11 |
| 1225139298 | Pro Active Advantage, LLC | Counselor | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-09-25 |
| 1255345765 | Idaho Independent Mri LLC | Clinic/Center | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699175158 | Allied Imaging Inc | Clinic/Center | 2043 E Center St Ste 115, Pocatello, ID 83201-3300 | 2014-09-02 |
| 1982042693 | Alliance Healthcare Services Inc | Clinic/Center | 3581 E Overland Rd, Meridian, ID 83642-6757 | 2013-06-05 |
| 1316003726 | Advanced Open Imaging Boise LLC | Clinic/Center | 3581 East Overland Rd, Meridian, ID 83642 | 2006-12-29 |
| 1437178399 | Idaho Facial Imaging LLC | Clinic/Center | 8119 Ustick Rd, Suite 101, Boise, ID 83704-5754 | 2006-07-19 |
| 1053305144 | Teton Mri of Idaho Falls | Clinic/Center | 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 | 2005-09-06 |
| 1982037107 | Sjrmc Interventional Radiology Services LLC | Clinic/Center | 415 6th St, Lewiston, ID 83501-2431 | 2013-08-12 |
| 1659528511 | Imaging Center of Idaho, LLC | Clinic/Center | 4519 Enterprise Way, Caldwell, ID 83605-8086 | 2008-08-22 |
| 1326230590 | Cassia Physicians Billing | Clinic/Center | 1501 Hiland Ave, Burley, ID 83318-2682 | 2007-08-13 |
| 1508991373 | Not-tsoo Gah-nee Indiane Health Services | Clinic/Center | Mission Road, Fort Hall, ID 83203 | 2007-02-22 |
| 1629031760 | Swient, LLC | Clinic/Center | 900 N Liberty St, Suite 305, Boise, ID 83704-8704 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on TWIN FALLS IMAGING AND DIAGNOSTIC CENTER.
| 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.