NPI age
19 years
Enumerated 2006-08-08
● Active Type 2 · Organization
Idaho Surgicenter North Llc
Idaho Surgicenter North Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Quinton
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3369 Merlin Dr
Idaho Falls, ID 834047405
Mailing address
Po Box 1386
Idaho Falls, ID 834031386
Authorized official
Tony D Quinton, DPM
Owner
📞 2085290009
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (HI) | 000010027109 | BLUE SHIELD |
| 01 (ID) | 04085 | BLUE CROSS |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.