P Praxis·MD
● Active Type 2 · Organization

Emerald Surgical Center Llc

Clinic/Center·Boise, ID· NPI 1376607309 · Enumerated 2006 · 19 years on NPI
Emerald Surgical Center Llc is 1 of 99 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2006-12-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Mgn. Partner
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

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
811 N Liberty St
Boise, ID 837048703
📞 2083234522
Mailing address
811 N Liberty St
Boise, ID 837048703
📞 2083234522

Authorized official

Kerry W. Anderson, DPM
Mgn. Partner
📞 2083234522

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Kevin Coleman, CRNA Nurse Anesthetist, Certified Registered NPI 1023045192

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Multi-provider organization. 1 individual provider 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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