Northern Lakes Surgery Center, LLC
NPI 1053140822 · Anesthesiology Physician · Hayden, ID
Northern Lakes Surgery Center, LLC is a Anesthesiology Physician organization in Hayden, ID (NPI 1053140822).
Provider details
- NPI number
- 1053140822
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Lyman, Owner and Physician(208) 758-0719
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Hayden Surgery Center
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Frequently asked questions
- What is Northern Lakes Surgery Center, LLC's NPI number?
- Northern Lakes Surgery Center, LLC's National Provider Identifier (NPI) is 1053140822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lakes Surgery Center, LLC?
- Northern Lakes Surgery Center, LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Lakes Surgery Center, LLC located?
- Northern Lakes Surgery Center, LLC's practice location on file with NPPES is 8552 N Government Way, Hayden, ID 83835-9280.
- What is Northern Lakes Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Lakes Surgery Center, LLC is (208) 457-4211.
- Who is the authorized official for Northern Lakes Surgery Center, LLC?
- The authorized official listed on Northern Lakes Surgery Center, LLC's NPPES record is Jeffrey Lyman, Owner and Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lakes Surgery Center, LLC's NPI active?
- Yes — Northern Lakes Surgery Center, LLC's NPI (1053140822) is active in the NPPES registry as of the last update on 2024-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.