Twin Cities Children'S Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TWIN CITIES CHILDREN'S SURGERY CENTER, LLC

Practice address

1997 Sloan PL
Maplewood, MN 55117-2047

Phone

(301) 494-3000

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Wheeler

Title

Business Manager

Phone

(301) 494-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Ambulatory surgical center certification: CCN 24C0001127

Legal name

Twin Cities Children's Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 22, 2025

Last certification

Apr 28, 2025

Facility address

1997 Sloan PL Suite 30
Maplewood, MN 55117

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1356032403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000",
            "fax_number": "651-661-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SLOAN PL",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172047",
            "telephone_number": "301-494-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES CHILDREN'S SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-494-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Tu, M.D.
• Ryan P Tully, D.P.T
• Kai Adam Tuominen, MD
• Twin Cities Children'S Anesthesia Dentistry, PLLC
• Twin Cities Children'S General Anesthesia Dentistry
• Twin Cities Oral & Maxillofacial Surgery, PA
• Stephanie Marie Tyree-Dahlberg, LMFT
• Anna Udenberg
• Sarah Ulman, CCC-SLP
• Ultimate Health Inc

• Ambulatory Surgical Clinic/Center in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.