NPIMap

Organization Active NPI

Muskegon Surgical Associates Surgicenter, PLC

  • Ambulatory Surgical Clinic/Center
  • Muskegon, MI
National Provider Identifier
1184485146
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MUSKEGON SURGICAL ASSOCIATES SURGICENTER, PLC
Practice address
1672 Patriot Drive
Muskegon, MI 49444
Phone
(231) 739-9461
Fax
(231) 739-1984
NPI assigned
Jan 17, 2024
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Ryan P Ter Louw, MDNPI 1376833509
Title
Medical Director/President
Phone
(231) 246-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1672 Patriot Drive
Muskegon, MI 49444

Mailing address

1672 Patriot Dr
Muskegon, MI 49444-7807
Phone (231) 246-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104001832 MI Part B Supplier - Ambulatory Surgical Center 2264965888 Receives reassigned benefits from 18 practitioners
Practice locations: Muskegon, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184485146. Details of each certification follow.

Ambulatory surgical center certification: CCN 23C0001167

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Muskegon Surgical Associates Surgicenter, PLLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 3, 2025
Last certification
Dec 10, 2024
Ownership / control type
Proprietary
Facility address
1672 Patriot Drive
Muskegon, MI 49444

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2302305Muskegon Surgical Associates Surgi Center PLC1672 Patriot Drive, Muskegon, MI 49444Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1184485146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 PATRIOT DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447807",
            "telephone_number": "231-246-2478",
            "fax_number": "231-818-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 PATRIOT DRIVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-739-9461",
            "fax_number": "231-739-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON SURGICAL ASSOCIATES SURGICENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "TER LOUW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "231-246-2445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.