Active NPI
Specialty Surgery Center for Women, Inc
- Ambulatory Surgical Clinic/Center
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melvin Ashford, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 24D2304946 | Specialty Surgery Center for Women Inc | Certificate of waiver | May 20, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Maplwood, MN
- NPI 1518221779
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1053321745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.