EMERALD SURGICAL CENTER LLC
NPI 1376607309
Clinic/Center - Ambulatory Surgical in Boise, ID

NPI Status: Active since December 21, 2006

Contact Information

811 N LIBERTY ST
BOISE, ID
ZIP 83704
Phone: (208) 323-4522

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 13D1015796
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-12-2025

About EMERALD SURGICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Emerald Surgical Center Llc, a provider established in Boise, Idaho operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1376607309 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Kerry W. Anderson Dpm (Mgn. Partner)

NPI
1376607309
Provider Name
EMERALD SURGICAL CENTER LLC
Entity Type
Organization
Location Address
811 N LIBERTY ST BOISE, ID 83704
Location Phone
(208) 323-4522
Mailing Address
811 N LIBERTY ST BOISE, ID 83704
Mailing Phone
(208) 323-4522
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KERRY W. ANDERSON DPM

Authorized Official Title
MGN. PARTNER
Authorized Official Phone
(208) 323-4522

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 45 times for 31 patients

Partial removal of foot or heel bone

This procedure involves the surgical removal of a portion of the foot or heel bone. It's typically done to treat conditions like arthritis, bone spurs, or injuries. The goal is to alleviate pain and improve mobility. After surgery, physical therapy may be necessary for full recovery.

This service was performed 12 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1015796
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 13, 2023
Certificate Expiration Date
August 12, 2025
Laboratory Director
RONALD KRISTENSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Emerald Surgical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EMERALD SURGICAL CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376607309
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461201430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 2 + 0 + 1 + 4 + 3 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1376607309 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023045192 KEVIN L COLEMAN CRNA
Individual
Nurse Anesthetist, Certified Registered811 N LIBERTY ST
BOISE, ID 83704
(208) 323-4522
1326454422HAPPY ZONE INC.
Organization
Nurse Anesthetist, Certified Registered811 N LIBERTY ST
BOISE, ID 83704
(208) 323-4522
1790300812TRINITY ANESTHESIA LLC
Organization
Nurse Anesthetist, Certified Registered811 N LIBERTY ST
BOISE, ID 83704
(208) 323-4522

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376607309, enumerated in the NPI registry as an "organization" on December 21, 2006

The provider is located at 811 N Liberty St Boise, Id 83704 and the phone number is (208) 323-4522

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Mountain Health CO-OP and PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Correction of toe joint deformity and Partial removal of foot or heel bone.

The provider's CLIA number is 13D1015796 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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