Idaho Falls Surgical Center
NPI 1952568099ActiveOrganization· Nurse Anesthetist, Certified Registered· Idaho Falls, ID
Nurse Anesthetist, Certified Registered in Idaho Falls, Idaho, registered in NPPES in May 2008. The authorized official on file is Mark L. Petersen, MD, President.
Overview
| NPI | 1952568099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2008 |
| Last updated in NPPES | May 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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