SURGICAL SPECIALISTS OF AMERICA, LLC – NPI #1780515189
Internal Medicine

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

SURGICAL SPECIALISTS OF AMERICA, LLC is a provider located in POCATELLO, ID. NPPES recently assigned the NPI number 1780515189 to SURGICAL SPECIALISTS OF AMERICA, LLC on May 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Clinical Cardiac Electrophysiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGICAL SPECIALISTS OF AMERICA, LLC below.

NPI Profile for
SURGICAL SPECIALISTS OF AMERICA, LLC

NPI Number
1780515189
Enumeration Date

(about a week ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGICAL SPECIALISTS OF AMERICA, LLC
Primary location
2302 E TERRY ST
POCATELLO, ID 83201-2733
Phone: (208) 233-2273 Fax:
Mailing address
1515 E CLARK ST
POCATELLO, ID 83201-4133
Phone: (208) 233-2273 Fax:
Organization Subpart
No
Authorized Official
LANCE LONGMORE
OWNER
Phone: (208) 233-2273
Updated
Certification Date
May 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.