Creekside Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CREEKSIDE SURGERY CENTER LLC

Practice address

2375 E Sunnyside Rd
Suite B
Idaho Falls, ID 83404-8280

Phone

(208) 524-0610

Fax

(208) 557-0171

NPI assigned

Sep 26, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine L Linderman, MDNPI 1295836864

Title

Owner

Phone

(208) 524-0610

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine L Linderman, MD

  • Pain Clinic/Center
  • Idaho Falls, ID
  • NPI 1295836864
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1275634826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048280",
            "telephone_number": "208-524-0610",
            "fax_number": "208-524-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048280",
            "telephone_number": "208-524-0610",
            "fax_number": "208-557-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LINDERMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-0610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806782200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Beth Crawford, LMSW
• Kalin Joseph Craynor
• CRC Anesthesia PLLC
• Creekside Counseling
• Creekside Home Health Inc.
• Crestwood Dental
• Kilyn Diane Criddle
• Amanda Shae Crist, MOTR/L
• Jim Thomas Crittenden, OTR/L
• Justin Kyler Croft, FNP-C

• Ambulatory Surgical Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.