Surgicare of Minneapolis LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE OF MINNEAPOLIS LTD

Doing business as

Surgical Specialty Center of Minnesota

Practice address

6099 Wayzata Blvd Ste 300
St Louis Park, MN 55416-5538

Phone

(952) 832-9360

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Terry Voight

Title

Chief Administrative Officer

Phone

(952) 832-9360

Specialties & licenses 1

Addresses

Other names 1

• Surgical Specialty Center of Minnesota Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Centennial Lakes Surgery CenterCCN 24C0001014

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• The Ear, Nose and Throat Clinic and Hearing Center, P.a.

  • Otolaryngology Physician
  • Edina, MN
  • NPI 1881708030

  Member Of

  NPD member

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1477519130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-832-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-832-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 France Ave S",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354534",
            "country_code": "US",
            "telephone_number": "952-832-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICARE OF MINNEAPOLIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "VOIGHT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "952-832-9360"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Specialty Center of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Caregivers, LLC
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• Somu Suppiah, M.D.
• Surface Specialists Metro Inc
• Andrew Surmak, M.D.
• Susan E Nicol PHD LLC
• Susan K. Searle Inc.
• Emma Grace Sutton, MSW, LICSW
• Mary Eileen Sutton

• Ambulatory Surgical Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, 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 Aug 8, 2022; 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.