Wayzata Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WAYZATA SURGERY CENTER

Practice address

935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513

Phone

(763) 559-4500

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

OMNI MEDICAL CENTER PLLCAs reported in NPPES

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

Authorized official

Name

John A Ness, MDNPI 1124046933

Title

President

Phone

(763) 559-4500

Specialties & licenses 3

Addresses

Tax ID family

Omni Medical Center2 organizations share this tax ID, including this one

Part of

Omni Medical Center PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wayzata Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wayzata, MN
  • NPI 1134527880
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGDGCA

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.

• John A Ness, MD

  • Plastic and Reconstructive Surgery Physician
  • Wayzata, MN
  • NPI 1124046933
  Authorized official Same address or phone

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1043812787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYZATA SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI MEDICAL CENTER PLLC",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-559-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayzata Bay Senior Housing, Inc. (Folkestone)
• Wayzata Chiropractic Clinic
• Wayzata Dental, LTD. (Wayzata Dental)
• Wayzata Endodontics PA
• Wayzata Endodontics, P.a.
• Wayzata Surgical Center LLC
• Wegleitner Chiropractic, P.a
• Nicholas Wegleitner
• Samuel Paul Wellman, MA, LPCC
• Patrick Wenk

• Ambulatory Surgical Clinic/Center in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.