Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Surgicenter Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1992759930

Idaho Surgicenter Inc is a Foot & Ankle Surgery Podiatrist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1157 Call Pl
Pocatello, ID 83201
Phone: (208) 238-6337
Fax: (208) 776-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence P166 (ID)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence P92 (ID)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence P153 (ID)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1992759930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Barnard — Administrator · (208) 852-6242
Other names Idaho Surgicenter South; Idaho Surgicenter South
NPI enumeratedMay 22, 2006
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing addressPo Box 2067, Pocatello, ID 83206-2067

Other providers in Pocatello