MINIMALLY INVASIVE SURGERY NORTHWEST, INC
NPI 1992758403
Surgery in Post Falls, ID

NPI Status: Active since May 18, 2006

Contact Information

750 N SYRINGA ST
SUITE 205
POST FALLS, ID
ZIP 83854
Phone: (208) 415-0151

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  • Organization
  • Surgery
  • CLIA Number: 13D1033649
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-14-2026

About MINIMALLY INVASIVE SURGERY NORTHWEST, INC

This page provides the complete NPI Profile along with additional information for Minimally Invasive Surgery Northwest, Inc, a provider established in Post Falls, Idaho operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1992758403 assigned on May 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John L Pennings M.d. (President)

NPI
1992758403
Provider Name
MINIMALLY INVASIVE SURGERY NORTHWEST, INC
Entity Type
Organization
Location Address
750 N SYRINGA ST SUITE 205 POST FALLS, ID 83854
Location Phone
(208) 415-0151
Mailing Address
750 N SYRINGA ST SUITE 205 POST FALLS, ID 83854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
11-01-2007
Code Navigator

A surgeon like Minimally Invasive Surgery Northwest, Inc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN L PENNINGS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 415-0151

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CJ3341OTHER (01)IDRAILROAD MEDICARE
1870237MEDICARE OSCAR/CERTIFICATION (06)ID 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1033649
Facility Type
Physician Office
Certificate Effective Date
November 15, 2024
Certificate Expiration Date
November 14, 2026
Laboratory Director
ANTOINE SARKIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Minimally Invasive Surgery Northwest, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MINIMALLY INVASIVE SURGERY NORTHWEST, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992758403, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 5 + 1 + 6 + 4 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1992758403.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Physical Therapist
750 N SYRINGA ST, SUITE 200
POST FALLS, ID 83854
Surgery
750 N SYRINGA ST, SUITE 205
POST FALLS, ID 83854
Specialist
750 N SYRINGA ST, STE 204
POST FALLS, ID 83854
Internal Medicine (Cardiovascular Disease)
750 N SYRINGA ST
POST FALLS, ID 83854
Surgery (Plastic and Reconstructive Surgery)
750 N SYRINGA ST, SUITE 204
POST FALLS, ID 83854
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
750 N SYRINGA ST, SUITE 100
POST FALLS, ID 83854
Surgery
750 N SYRINGA ST, SUITE 103
POST FALLS, ID 83854
Clinical Medical Laboratory
750 N SYRINGA ST, STE 203C
POST FALLS, ID 83854
Psychiatry & Neurology (Sleep Medicine)
750 N SYRINGA ST, SUITE 204
POST FALLS, ID 83854
General Practice
750 N SYRINGA ST, SUITE 100
POST FALLS, ID 83854
Emergency Medicine (Emergency Medical Services)
750 N SYRINGA ST, SUITE 100
POST FALLS, ID 83854
Audiologist
750 N SYRINGA ST, STE 203
POST FALLS, ID 83854
Radiology (Diagnostic Radiology)
750 N SYRINGA ST, SUITE 102
POST FALLS, ID 83854
Social Worker (Clinical)
750 N SYRINGA ST
POST FALLS, ID 83854
Surgery
750 N SYRINGA ST, STE 205
POST FALLS, ID 83854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992758403, enumerated as an "organization" on May 18, 2006.

The provider is located at 750 N SYRINGA ST SUITE 205 POST FALLS, ID 83854 and the phone number is (208) 415-0151.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.