NPI age
19 years
Enumerated 2006-08-12
● Active Type 2 · Organization
Ipc Surgical Center Llc
Ipc Surgical Center 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
Paluso
Administrator
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
2841 Juniper Dr
Lewiston, ID 835014719
Mailing address
2841 Juniper Dr
Lewiston, ID 835014719
Authorized official
Teri A Paluso
Administrator
📞 2087484315
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jennifer Creaser, ARNP Nurse Practitioner NPI 1588772461
- Ryan Daly, DNP Nurse Practitioner NPI 1356124432
- Craig Flinders, M.D. Pain Medicine NPI 1760403893
- Randall Harper, PH.D., M.ED., B.S.ED Counselor NPI 1659493385
- Garrett Mockler, MD Family Medicine NPI 1205356144
- Lyndal Stoutin, M.D. Pain Medicine NPI 1245240761
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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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.