Chu Surgery Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

CHU SURGERY CENTER, LLC

Practice address

9117 Lyndale Ave S
Bloomington, MN 55420-3522

Phone

(952) 835-1235

Fax

(952) 835-1092

NPI assigned

Mar 18, 2008

Last updated

Jan 4, 2013By 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

Ms. Carrie Jean Jacobs

Title

Administrator

Phone

(952) 835-0965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Chu Surgery CenterCCN 24C0001067

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

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.

• Yun-Sen Ralph Chu, M.D.

  • Ophthalmology Physician
  • Bloomington, MN
  • NPI 1659367423
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1083885081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203522",
            "telephone_number": "952-835-1235",
            "fax_number": "952-835-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203522",
            "telephone_number": "952-835-1235",
            "fax_number": "952-835-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHU SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-835-0965",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korianne Christopher
• Joshua T Christophersen
• Haylie Christopherson
• Shelby Marie Christopherson
• Chu Laser Eye Institute, PA (Chu Vision Institute, PA)
• Yun-Sen Ralph Chu, M.D.
• Damaris Chukwura
• Hari Chun
• Riley Church
• Jeffrey A Chuy, M.D.

• Ophthalmologic Surgery Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Ophthalmologic Surgery Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.