Wolfe Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WOLFE SURGERY CENTER, LLC

Practice address

6100 Westown Pkwy
West Des Moines, IA 50266-7757

Phone

(641) 754-6200

NPI assigned

Jun 14, 2010

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Moench

Title

Chief Financial Officer

Phone

(515) 240-8721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Wolfe Surgery Center LLCCCN 16C0001030

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

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.

• Kyle J Alliman, M.D.

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1437360351
  NPD (past)
• Derek P Bitner, M.D.

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1134414709
  NPD (past)
• Riley Scott Bylund, MD

  • Retina Specialist (Ophthalmology) Physician
  • West Des Moines, IA
  • NPI 1336791045
  NPD (past)
• Douglas R Casady, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • West Des Moines, IA
  • NPI 1114906518
  NPD (past)
• George B Clavenna, DO

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1831181627
  NPD (past)
• Stephen P Fox, M.D.

  • Ophthalmology Physician
  • Spencer, IA
  • NPI 1548221328
  NPD (past)
• Audrey Ko, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Waukee, IA
  • NPI 1891089546
  NPD (past)
• Micaela Marie Koci, MD

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1750951661
  NPD (past)
• David John Massop, MD

  • Retina Specialist (Ophthalmology) Physician
  • Des Moines, IA
  • NPI 1003267956
  NPD (past)
• Matthew P Rauen, M.D.

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1922216621
  NPD (past)
• Allie M. Simpson, MD

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1760942833
  NPD (past)
• Austin L. Strohbehn, MD

  • Retina Specialist (Ophthalmology) Physician
  • West Des Moines, IA
  • NPI 1629482468
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1063733095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-753-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667757",
            "telephone_number": "641-754-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Westown Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502667705",
            "country_code": "US",
            "telephone_number": "515-222-9880",
            "fax_number": "515-222-9895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOLFE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-240-8721"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Wishy, DO
• Lee Witt, PA-C
• Anna Wittmuss, CCC-SLP
• Kristina Nicole Wittrock, O.D.
• Wolfe Clinic Eye Surgery Management, L.L.C.
• Colombia Esther Wolff, ARNP
• David L Wonnell, PA-C
• Megan Wood, LISW
• Thomas S Woodard, DO
• Leslie Woodris

• Ambulatory Surgical Clinic/Center in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.