Organization Active NPI

West Bend Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • West Bend, WI
National Provider Identifier
1447269790
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST BEND SURGERY CENTER LLC
Practice address
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone
(262) 334-6165
Fax
(262) 334-1658
NPI assigned
Aug 5, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Matthew Partridge
Title
Senior Vice President, Finance
Phone
(440) 813-2866

Specialties & licenses 1

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

Addresses

Primary practice location

3212 Pleasant Valley Rd
West Bend, WI 53095-9274

Mailing address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060306000595 WI Part B Supplier - Ambulatory Surgical Center 7113933755 Practice locations: West Bend, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Bend Surgery Center LLCCCN 52C0001035
Medicare certification status
ActiveFrom the Provider of Services file

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
52D0957898West Bend Surgery Center, LLC3212 Pleasant Valley Road, West Bend, WI 53095Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Member of 3

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

Locations

3212 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-6165

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1447269790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-334-6165",
            "fax_number": "262-334-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BEND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "440-813-2866"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.