Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Lakes Surgery Center, LLC

Organization Anesthesiology Physician · NPI 1053140822

Northern Lakes Surgery Center, LLC is an Anesthesiology Physician in Hayden, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8552 N Government Way
Hayden, ID 83835-9280
Phone: (208) 457-4211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1053140822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Lyman — Owner And Physician · (208) 758-0719
Other names Hayden Surgery Center
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address8552 N Government Way, Hayden, ID 83835-9280