NPI age
20 years
Enumerated 2006-05-09
● Active Type 2 · Organization
Surgery Center Of Idaho Llc
Surgery Center Of Idaho 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
Waldmann
President
Last NPPES update
2021-02-22
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2855 E Magic View Dr
Meridian, ID 836426245
Mailing address
2855 E Magic View Dr
Meridian, ID 836426245
Authorized official
Todd Michael Waldmann, M.D.
President
📞 2086394900
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Lee Conrad, PA-C Physician Assistant NPI 1114140910
- Heather Crandall, CST CFA Specialist/Technologist, Other NPI 1942356647
- Cynthia Fairfax, M.D. Urology NPI 1417906330
- John Greer, M.D. Urology NPI 1356393227
- Dani Hammer Specialist/Technologist, Other NPI 1912687427
- Stephanie Hodson, MD Internal Medicine NPI 1265478374
- Katy Holder, PA-C Physician Assistant NPI 1427143346
- Dawn King, M.D. Urology NPI 1568413763
- Eric Klein, M.D.,MPH, TM Specialist NPI 1023013109
- Nicholas Kuntz, M.D. Urology NPI 1104147362
- Melissa McClenahan, PA-C Physician Assistant NPI 1053695676
- Stephen Miller, M.D. Urology NPI 1164474664
- Wade Muncey, M.D. Urology NPI 1619408838
- Lisa Parrillo, MD Urology NPI 1659663482
- Lea Piper Specialist/Technologist, Other NPI 1174156418
- Melissa Rios, CSFA Technician/Technologist NPI 1518734722
- Adam Schatz, MD Urology NPI 1316331705
- Samuel Uebelacker, PA-C Physician Assistant NPI 1316587751
- Todd Waldmann, M.D. Urology NPI 1104877299
- Joseph Williams, M.D. Urology NPI 1194777060
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1870688 | |
| 01 (ID) | 000010157600 | BLUE SHIELD MERIDIAN |
| 05 (ID) | 807589100 | |
| 01 (ID) | 04868 | BLUE CROSS MERIDIAN |
Practice context
Multi-provider organization. 20 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.