NPI age
2 years
Enumerated 2023-09-21
● Active Type 2 · Organization
Northern Lakes Surgery Center, Llc
Northern Lakes 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
Thomson
Administrator
Last NPPES update
2024-07-05
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
8552 N Government Way
Hayden, ID 838359280
Mailing address
8552 N Government Way
Hayden, ID 838359280
Authorized official
Wendy Thomson
Administrator
📞 4804473579
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Scout Cai, DPT Physical Therapist NPI 1285442442
- Brian Carroll Nurse Anesthetist, Certified Registered NPI 1417449810
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Hayden Surgery Center
-
Hayden Surgery Center
Practice context
Multi-provider organization. 2 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.