NPIMap

Organization Active NPI

Atlas Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chaska, MN
National Provider Identifier
1275142804
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ATLAS SURGERY CENTER, LLC
Doing business as
Atlas Surgery Center, LLC
Practice address
3000 Hundertmark Rd Ste 200
Chaska, MN 55318-1152
Phone
(952) 495-6740
Fax
(952) 466-3936
NPI assigned
Jul 29, 2020
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Clifton Chad Bazhaw
Title
Sr. VP Revenue Cycle
Phone
(469) 270-6658

Specialties & licenses 1

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

Addresses

Primary practice location

3000 Hundertmark Rd Ste 200
Chaska, MN 55318-1152

Mailing address

1200 Chaska Creek Way Ste 110
Chaska, MN 55318-2749
Phone (952) 495-6740

Other names 1

  • Atlas Surgery Center, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MN Eye Laser Surgery Ctr6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3000 Hundertmark Rd
Ste 1
Chaska, MN 55318
Phone (651) 702-7400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1275142804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY STE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182749",
            "telephone_number": "952-495-6740",
            "fax_number": "952-495-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HUNDERTMARK RD STE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181152",
            "telephone_number": "952-495-6740",
            "fax_number": "952-466-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "BAZHAW",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "SR. VP REVENUE CYCLE",
        "authorized_official_telephone_number": "469-270-6658"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.