Organization Active NPI

Specialty Surgery Center for Women, Inc

  • Ambulatory Surgical Clinic/Center
  • Maplewood, MN
National Provider Identifier
1346006558
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPECIALTY SURGERY CENTER FOR WOMEN, INC
Practice address
1965 11TH Ave E Ste 103
Maplewood, MN 55109-5168
Phone
(651) 600-3035
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Dr. Melvin Ashford, MDNPI 1053321745
Title
President Ceo
Phone
(651) 253-4089

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 Primary

Addresses

Primary practice location

1965 11TH Ave E Ste 103
Maplewood, MN 55109-5168

Mailing address

1965 11TH Ave E Ste 103
Maplewood, MN 55109-5168
Phone (651) 253-4089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209002038 MN Part B Supplier - Ambulatory Surgical Center 0648706010 Practice locations: Maplewood, MN

Ambulatory surgical center certification: CCN 24C0001128

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
SPECIALTY SURGERY CENTER FOR WOMEN
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 14, 2025
Last certification
Jul 11, 2025
Facility address
1965 11TH Avenue East
Maplewood, MN 55109

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
24D2304946Specialty Surgery Center for Women Inc1965 11TH Ave, Maplewood, MN 55109Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Member of 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1346006558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 11TH AVE E STE 103",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095168",
            "telephone_number": "651-253-4089",
            "fax_number": "651-253-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 11TH AVE E STE 103",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095168",
            "telephone_number": "651-600-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGERY CENTER FOR WOMEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "651-253-4089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.