P Praxis·MD
● Active Type 2 · Organization

Northern Lakes Surgery Center, Llc

Anesthesiology·Hayden, ID· NPI 1053140822 · Enumerated 2024 · 1 years on NPI
Northern Lakes Surgery Center, Llc is 1 of 152 anesthesiology organizations in Idaho.
NPI age
1 years
Enumerated 2024-07-30
Primary specialty
Anesthesiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lyman
Owner And Physician
Last NPPES update
2024-07-30
Source: monthly bulk 2026-05

How this organization compares

Across 152 active anesthesiology providers in Idaho.

NPI age
1 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
8552 N Government Way
Hayden, ID 838359280
📞 2084574211
Mailing address
8552 N Government Way
Hayden, ID 838359280

Authorized official

Jeffrey Robert Rees Lyman
Owner And Physician
📞 2087580719

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Scout Cai, DPT Physical Therapist NPI 1285442442
  • Brian Carroll Nurse Anesthetist, Certified Registered NPI 1417449810

Specialties

  • Anesthesiology Primary
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    taxonomy 207L00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Hayden Surgery Center
    Type code 3 recorded 2024-07-30

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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