NPI age
17 years
Enumerated 2008-06-17
● Active Type 2 · Organization
Skyline Surgery Center, Llc
Skyline 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
Buckalew
Administrator
Last NPPES update
2018-05-31
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
285 Vista Dr, Ste C
Pocatello, ID 83201
Mailing address
285 Vista Drive, Suite C
Pocatello, ID 83201
Authorized official
Kathryn Buckalew
Administrator
📞 2087853877
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Beau Daniel, CRNA Nurse Anesthetist, Certified Registered NPI 1760712327
- Timothy Naylor, CRNA Nurse Anesthetist, Certified Registered NPI 1144652694
- Richard Sorensen, DPT Physical Therapist NPI 1336451400
- Laura Sprague, DPT Physical Therapist NPI 1053605907
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Skyline Surgery Center Inc
-
Skyline Surgery Center Inc
Practice context
Multi-provider organization. 4 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.