NPI age
18 years
Enumerated 2008-02-06
● Active Type 2 · Organization
Pend Oreille Surgery Center Llc
Pend Oreille Surgery 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
Sabo
Executive Director
Last NPPES update
2012-04-27
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
30544 Highway 200, Suite 201
Ponderay, ID 838525005
Mailing address
30544 Highway 200, Suite 201
Ponderay, ID 838525005
Authorized official
Kristi Sabo, RN
Executive Director
📞 2082658194
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Joan Bloom, M.D. Family Medicine NPI 1033229307
- Angela Chapin, MT Massage Therapist NPI 1679110845
- Bruce Demko, CRNA Nurse Anesthetist, Certified Registered NPI 1780651539
- Michael Dibenedetto, M.D. Orthopaedic Surgery NPI 1679644397
- Jonathan Fisher, DPM Podiatrist NPI 1891969606
- Tara Heisey, LMT Massage Therapist NPI 1245194059
- Jessica Hunt, LMT Massage Therapist NPI 1851894018
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808553900 |
Practice context
Multi-provider organization. 7 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.