Erm Surgical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ERM SURGICAL LLC

Practice address

919 S Utah Ave
Idaho Falls, ID 83402-3322

Phone

(208) 972-0420

NPI assigned

Jan 23, 2023

Last updated

Apr 21, 2023By 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

Kendon HowardNPI 1184367179

Title

Owner

Phone

(208) 972-0420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760198816. Details of each certification follow.

• CCN 13C0001109 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 13C0001109

Legal name

ERM SURGICAL LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 28, 2025

Last certification

May 22, 2025

Facility address

919 S Utah Ave
Idaho Falls, ID 83402

Locations

Practitioners 2

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.

• Karson Kert Howard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pocatello, ID
  • NPI 1992093561
  Medicare reassignment NPD
• Kendon Howard

  • Pedorthist
  • Idaho Falls, ID
  • NPI 1184367179
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1760198816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023322",
            "telephone_number": "208-972-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERM SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KENDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-972-0420"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadynn Erickson, RBT
• Lincoln Andrew Erickson, RBT
• Ty Bolton Erickson, MD
• Valerie Erickson
• Brad C Erikson, DO
• Eslim LLC
• Leland Eugene Eslinger, LCPC
• Esperanza Mental Health
• Samantha Renee Eteve, DO
• Eubanks Enterprises Inc

• 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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.