Wayzata Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

369743 Issued in MN

Legal business name

WAYZATA SURGICAL CENTER LLC

Practice address

935 Wayzata Blvd E Ste 100
Wayzata, MN 55391-2513

Phone

(763) 559-4500

Fax

(763) 559-1733

NPI assigned

Dec 11, 2014

Last updated

Feb 20, 2026By 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

John Allan Ness, M.DNPI 1124046933

Title

Owner/Administrator

Phone

(763) 559-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

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

Other organizations with this tax ID 1

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

• Wayzata Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wayzata, MN
  • NPI 1043812787
  NPD tax ID

Locations

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1134527880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 100",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500",
            "fax_number": "763-559-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 100",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500",
            "fax_number": "763-559-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYZATA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "763-559-4500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "369743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayzata Chiropractic Clinic
• Wayzata Dental, LTD. (Wayzata Dental)
• Wayzata Endodontics PA
• Wayzata Endodontics, P.a.
• Wayzata Surgery Center
• Wegleitner Chiropractic, P.a
• Nicholas Wegleitner
• Samuel Paul Wellman, MA, LPCC
• Patrick Wenk
• West Lake Family Services

• 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 Feb 20, 2026; 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.