Active NPI
St. Mary'S Outpatient Surgery Center at Galena LLC
- Ambulatory Surgical Clinic/Center
- Reno, NV
National Provider Identifier
1295973006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ST. MARY'S OUTPATIENT SURGERY CENTER AT GALENA LLC
- Practice address
- 18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037 - Phone
- (775) 674-5200
- Fax
- (775) 674-5228
- NPI assigned
- Feb 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lars Webb, MD
- Title
- Medical Director
- Phone
- (775) 674-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NV | Primary |
Addresses
Primary practice location
18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037
Mailing address
18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037
Phone (775) 674-5200
Other names 2
- Galena Surgical Center
- Summit Surgery Center at St. Marys Galena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091223000514 | NV | Part B Supplier - Ambulatory Surgical Center | 7911047923 | Practice locations: Reno, NV |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Summit Surgery Centere St Marys Galena
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D1004029 | Galena Surgical Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Reno, NV
- NPI 1154486769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1295973006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18653 WEDGE PKWY STE 170",
"city": "RENO",
"state": "NV",
"postal_code": "895113037",
"telephone_number": "775-674-5200",
"fax_number": "775-657-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18653 WEDGE PKWY STE 170",
"city": "RENO",
"state": "NV",
"postal_code": "895113037",
"telephone_number": "775-674-5200",
"fax_number": "775-674-5228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S OUTPATIENT SURGERY CENTER AT GALENA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-02",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "LARS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "775-674-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Galena Surgical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summit Surgery Center at St. Marys Galena",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.