Metropolitan Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

METROPOLITAN SURGICAL CENTER, LLC

Practice address

9645 Grove Cir N Ste 250
Maple Grove, MN 55369-2683

Phone

(763) 201-8191

Fax

(763) 201-8192

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Jason Wolff, MDNPI 1376759845

Title

Owner

Phone

(763) 201-8191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Metropolitan Surgical CenterCCN 24C0001102

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Sanford Wolff, M.D.

  • Interventional Pain Medicine Physician
  • Maple Grove, MN
  • NPI 1376759845
  Medicare reassignment NPD Authorized official
• Ronald B Boeding, MD

  • Pain Medicine (Anesthesiology) Physician
  • Maple Grove, MN
  • NPI 1104093152
  Medicare reassignment NPD
• Rano Faltas, M.D.

  • Anesthesiology Physician
  • Minneapolis, MN
  • NPI 1992060891
  Medicare reassignment NPD
• James Bryan Parmele, M.D.

  • Interventional Pain Medicine Physician
  • Maple Grove, MN
  • NPI 1255545687
  Medicare reassignment NPD
• Dustin Robert Ward, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Maple Grove, MN
  • NPI 1356526693
  Medicare reassignment NPD
• Nathan Michael Wick, DO

  • Anesthesiology Physician
  • Plymouth, MN
  • NPI 1992366504
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1144745951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692683",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692683",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-201-8191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "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": []
}

• Jeffrey Merriam, CRNA
• David Mersy, MD
• Mesm, LLC
• Ardith Ann Messicci, MA LP
• Metropolitan Gastrointestinal Specialists
• Anna Corinne Meyer, M.D.
• Megan Elizabeth Meyer, M.S.
• Pernilla Yvonne Meyer
• Tobie J. Meyer, PA
• Sevilla Meyers, MA, LADC

• Ambulatory Surgical Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, 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 Jan 28, 2020; 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.