NPI age
4 years
Enumerated 2021-05-27
● Active Type 2 · Organization
Idaho Otologic Surgery Center, Llc
Idaho Otologic 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
Crawford
Owner
Last NPPES update
2022-10-06
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1209 N Summerbrook Ave Ste 110
Meridian, ID 836428760
Mailing address
13900 W Wainwright Dr Ste 102
Boise, ID 837135028
Authorized official
James Crawford, MD
Owner
📞 2532784304
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Syringa Outpatient Surgery Center
-
Syringa Outpatient Surgery Center
Practice context
Single-site organization. Only one practice location on file.
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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.