NPIMap

Organization Active NPI

Aspirus Stevens Point Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Stevens Point, WI
National Provider Identifier
1386677060
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASPIRUS STEVENS POINT SURGERY CENTER, LLC
Practice address
5409 Vern Holmes Dr
Stevens Point, WI 54481-8853
Phone
(715) 342-1015
NPI assigned
Jul 8, 2006
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Sidney C Sczygelski
Title
Cfo
Phone
(715) 847-2250

Specialties & licenses 1

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

Addresses

Primary practice location

5409 Vern Holmes Dr
Stevens Point, WI 54481-8853

Mailing address

PO Box 1165
Wausau, WI 54402-1165
Phone (715) 847-2148

Other identifiers 2

IdentifierTypeStateIssuer
52D1052765OtherWICLIA NUMBER
41915200MedicaidWI

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1386677060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021165",
            "telephone_number": "715-847-2148",
            "fax_number": "715-847-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 VERN HOLMES DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818853",
            "telephone_number": "715-342-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS STEVENS POINT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "SCZYGELSKI",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-847-2250"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "52D1052765",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41915200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.