# SURGICAL SPECIALISTS OF AMERICA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780515189
- **Authorized official:** DR. LANCE LONGMORE DO (OWNER)
- **Authorized official phone:** (208) 233-2273

## Contact information

- **Practice address:** 2302 E TERRY ST, POCATELLO, ID 83201-2733
- **Practice address phone:** (208) 233-2273
- **Mailing address:** 1515 E CLARK ST, POCATELLO, ID 83201-4133
- **Mailing address phone:** (208) 233-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2026
- **Last updated:** 05/26/2026