Organization Active NPI

Institute of Specialty Surgery LLC

Doing business as Institute for Special Surgery

  • Ambulatory Surgical Clinic/Center
  • Fargo, ND
National Provider Identifier
1013946276
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INSTITUTE OF SPECIALTY SURGERY LLC
Doing business as
Institute for Special Surgery
Practice address
2301 25TH St S
Suite H
Fargo, ND 58103-6104
Phone
(701) 271-1045
Fax
(701) 271-1044
NPI assigned
Jul 1, 2006
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tim Haugen, CPA
Title
Administrator
Phone
(701) 271-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2301 25TH St S
Suite H
Fargo, ND 58103-6104

Mailing address

2301 25TH St S
Suite H
Fargo, ND 58103-6104
Phone (701) 271-1045

Other identifiers 2

IdentifierTypeStateIssuer
10846MedicaidND
395014000MedicaidMN

Other names 1

  • Institute for Special Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

2301 25th St S
#H
Fargo, ND 58103
Phone (701) 271-1045

2301 25th St S
Ste H
Fargo, ND 58103
Phone (701) 271-1045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1013946276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "address_2": "SUITE H",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-271-1045",
            "fax_number": "701-271-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "address_2": "SUITE H",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-271-1045",
            "fax_number": "701-271-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF SPECIALTY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-271-1045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10846",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395014000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.