NORTHERN LAKES SURGERY CENTER, LLC - NPI 1053140822

Q: What is Northern Lakes Surgery Center, LLC's NPI number?

The NPI number for Northern Lakes Surgery Center, LLC is 1053140822. It was assigned to this organization in the NPPES registry on July 30, 2024. The provider is doing business as Hayden Surgery Center.

Q: What is Northern Lakes Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

On this page

About Northern Lakes Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN LAKES SURGERY CENTER, LLC (NPI 1053140822), doing business as Hayden Surgery Center, is a healthcare organization registered as an anesthesiology in Hayden, Idaho and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Jeffrey Robert Rees Lyman, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1053140822

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameNORTHERN LAKES SURGERY CENTER, LLC

Location Address8552 N GOVERNMENT WAYHayden, ID 83835-9280

Mailing Address8552 N Government WayHayden, ID 83835-9280

Phone(208) 457-4211

Organization SubpartNo

Authorized OfficialJeffrey Robert Rees LymanOwner And Physician · (208) 758-0719

Enumeration DateJuly 30, 2024

NPPES CertifiedJuly 30, 2024

✔ NPI 1053140822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

8552 N GOVERNMENT WAY, Hayden, ID 83835

Open in Google Maps ↗

Other Names 1

Doing Business AsHayden Surgery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2298739

Northern Lakes Surgery Center LLC · Hayden, ID

Active · expires Feb 6, 2028

CLIA Number13D2298739

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 7, 2026

Certificate Expiration DateFebruary 6, 2028

Laboratory DirectorJeffrey Lyman

Laboratory Phone(208) 772-7600

Laboratory LocationNorthern Lakes Surgery Center LLC8552 N Government Way, Hayden, ID 83835

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYDEN LAKE ANESTHESIA PLLC

Nurse Anesthetist, Certified Registered