Northern Lakes Surgery Center, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHERN LAKES SURGERY CENTER, LLC

Doing business as

Hayden Surgery Center

Practice address

8552 N Government Way
Hayden, ID 83835-9280

Phone

(208) 457-4211

NPI assigned

Jul 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Robert Rees LymanNPI 1316945876

Title

Owner and Physician

Phone

(208) 758-0719

Specialties & licenses 1

Addresses

Other names 1

• Hayden Surgery Center Doing business as

Tax ID family

Hayden Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Lakes Surgery Center, LLC

  dba Hayden Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hayden, ID
  • NPI 1861271629
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Robert Rees Lyman, MD

  • Orthopaedic Surgery Physician
  • Coeur D Alene, ID
  • NPI 1316945876
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1053140822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359280",
            "telephone_number": "208-457-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LAKES SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT REES",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "208-758-0719"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayden Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nordic Pine Chiropractic PLLC (Hayden Lake Chiropractic)
• North Idaho Counseling Center
• North Idaho DPC, PLLC
• North Idaho Nephrology Associates, Inc.
• North Star Physical Therapy and Wellness
• Northern Lakes Surgery Center, LLC (Hayden Surgery Center)
• Northwest Counseling Services PLLC
• Northwest Counseling Services PLLC
• Northwest Medical Transport LLC
• Northwest Natural Dentistry GPS PLLC (Northwest Natural Dentistry)

• Anesthesiology Physician in Hayden, ID
• Providers in Hayden, ID by specialty
• Anesthesiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.