Organization Active NPI

Hopco Madison ASC Holdings, LLC

  • Ambulatory Surgical Clinic/Center
  • Middleton, WI
National Provider Identifier
1417833013
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HOPCO MADISON ASC HOLDINGS, LLC
Practice address
8124 Forsythia St.
Middleton, WI 53562
Phone
(608) 234-7436
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Jason Sansone, MDNPI 1942400221
Title
Authorized Official
Phone
(608) 234-7436

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

8124 Forsythia St.
Middleton, WI 53562

Mailing address

18444 N 25TH Ave Ste 320
Phoenix, AZ 85023-1266

Other names 1

  • Orthopedic & Spine Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260203003157 WI Part B Supplier - Ambulatory Surgical Center 0143708743 Practice locations: Middleton, WI

Ambulatory surgical center certification: CCN 52C0001162

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
Orthopedic & Spine Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 10, 2026
Last certification
Mar 25, 2026
Facility address
8124 Forsythia Street
Middleton, WI 53562

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
52D2336268Orthopedic and Spine Surgery Center8124 Forsythia St, Middleton, WI 53562Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory

Locations

18444 N 25th Ave
Ste 320
Phoenix, AZ 85023

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": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1417833013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 FORSYTHIA ST.",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-234-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPCO MADISON ASC HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "608-234-7436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic & Spine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.