SKYLINE SURGERY CENTER, LLC (NPI# 1851552483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851552483 |
| Entity Type | Organization |
| Organization Name | SKYLINE SURGERY CENTER, LLC |
| Other Organization Name | SKYLINE SURGERY CENTER INC |
| Practice Address |
285 Vista Dr Ste C Pocatello ID 83201 |
| Mailing Address |
285 Vista Drive Suite C Pocatello ID 83201 |
| Practice Telephone | 2084781704 |
| Practice Fax Number | 2082336970 |
| Mailing Telephone | 2084781704 |
| Mailing Fax Number | 2082336970 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | KATHRYN BUCKALEW (ADMINISTRATOR) |
| Authorized Official Telephone | 2087853877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Skyline Surgery Center Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317054 | Skyline Surgery Center, LLC | Clinic/Center | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2018-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Skyline Surgery Center, LLC | 4026 Jerry Murphy Rd, Pueblo, CO 81001 |
| Street Address |
285 VISTA DR STE C |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003380783 | Edwards Enterprises LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2019-01-16 |
| 1588160881 | Daniel Anesthesia PC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2018-04-04 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1780062588 | Kezele Anesthetics, P.C. | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-12 |
| 1356728810 | Anesthesia Zzz LLC | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2015-05-04 |
| 1144652694 | Timothy Morgan Naylor | Nurse Anesthetist, Certified Registered | 285 Vista Dr, Pocatello, ID 83201-4987 | 2013-08-07 |
| 1073857991 | Valley View Anesthesia Pa | Anesthesiology | 285 Vista Dr, Pocatello, ID 83201-4987 | 2012-11-15 |
| 1164774923 | Sm Maloff Md PC | Plastic Surgery | 285 Vista Dr, Pocatello, ID 83201-4987 | 2012-10-03 |
| 1053605907 | Laura M Sprague | Physical Therapist | 285 Vista Dr, Suite A, Pocatello, ID 83201-4987 | 2011-06-07 |
| 1972808806 | Psychiatry-ect, Pllc | Psychiatry & Neurology | 285 Vista Dr, Suite D, Pocatello, ID 83201 | 2011-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114013869 | Rocky Mountain Surgery Center | Clinic/Center | 333 N 18th Ave Ste C, Pocatello, ID 83201-3358 | 2006-10-04 |
| 1467979443 | Mvh Endoscopy LLC | Clinic/Center | 110 Vista Dr, Pocatello, ID 83201-5824 | 2017-08-29 |
| 1871016071 | Portneuf Asc, LLC | Clinic/Center | 1151 Hospital Way Bldg A, Pocatello, ID 83201-5091 | 2017-07-19 |
| 1831265321 | Pcs Endoscopy Suite | Clinic/Center | 110 Vista Drive, Pocatello, ID 83201-4835 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835713 | Idaho Endoscopy Center LLC | Clinic/Center | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1467097725 | Center for Surgery Pllc | Clinic/Center | 3369 Merlin Dr Ste A, Idaho Falls, ID 83404-7405 | 2019-11-11 |
| 1831636752 | River View Surgery Center, LLC | Clinic/Center | 1502 Locust St N Ste 100, Twin Falls, ID 83301-4163 | 2017-01-30 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1558733147 | River City Surgical Center | Clinic/Center | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-22 |
| 1821420571 | Upper Valley Surgery Center | Clinic/Center | 256 N 200 E, Rexburg, ID 83440-2048 | 2013-08-05 |
| 1669720397 | Pleasant View Surgery Center, LLC | Clinic/Center | 4171 West Expo Parkway, Post Falls, ID 83854 | 2012-08-28 |
| 1255500427 | Les Bois Surgery Center, LLP | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2008-02-21 |
| 1740479476 | Meadow Lake Surgery Center Inc | Clinic/Center | 3630 E Louise Dr, Suite 200, Meridian, ID 83642-7975 | 2007-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.