Meadow Lake Surgery Center Inc
NPI 1740479476 · Ambulatory Surgical Clinic/Center · Meridian, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meadow Lake Surgery Center Inc is a Ambulatory Surgical Clinic/Center organization in Meridian, ID (NPI 1740479476).
Provider details
- NPI number
- 1740479476
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Wigod, M.D.(208) 377-9515
- License
- M8189 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2013-09-16
Frequently asked questions
- What is Meadow Lake Surgery Center Inc's NPI number?
- Meadow Lake Surgery Center Inc's National Provider Identifier (NPI) is 1740479476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meadow Lake Surgery Center Inc?
- Meadow Lake Surgery Center Inc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Meadow Lake Surgery Center Inc located?
- Meadow Lake Surgery Center Inc's practice location on file with NPPES is 3630 E Louise Dr, Meridian, ID 83642-7975.
- What is Meadow Lake Surgery Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Meadow Lake Surgery Center Inc is (208) 377-9515.
- Does Meadow Lake Surgery Center Inc accept Medicare?
- Meadow Lake Surgery Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Meadow Lake Surgery Center Inc?
- The authorized official listed on Meadow Lake Surgery Center Inc's NPPES record is Mark Wigod, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Meadow Lake Surgery Center Inc's NPI active?
- Yes — Meadow Lake Surgery Center Inc's NPI (1740479476) is active in the NPPES registry as of the last update on 2013-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.