Organization Active NPI

Erm Surgical LLC

  • Ambulatory Surgical Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1760198816
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

919 S Utah Ave
Idaho Falls, ID 83402-3322

Mailing address

919 S Utah Ave
Idaho Falls, ID 83402-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240614002539 ID Part B Supplier - Ambulatory Surgical Center 5799228011 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

Ambulatory surgical center certification: CCN 13C0001109

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.