Woodbury Surgical Suites, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WOODBURY SURGICAL SUITES, LLC

Practice address

587 Bielenberg Dr
Suite 100
Woodbury, MN 55125-4451

Phone

(612) 219-5355

NPI assigned

Mar 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Koeplin, MD

Title

Ceo

Phone

(612) 219-5355

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Craig Pellersels, DPM

  • Podiatrist
  • Woodbury, MN
  • NPI 1790730380
  NPD

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393718400000",
    "number": "1477978310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BIELENBERG DR",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254451",
            "telephone_number": "612-219-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 BIELENBERG DR",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254451",
            "telephone_number": "612-219-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-02",
        "last_updated": "2014-03-02",
        "status": "A",
        "authorized_official_last_name": "KOEPLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-219-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodbury Sleep Solutions PA
• Woodbury Smiles Dentistry, PC (Woodbury Smiles Dentistry)
• Woodbury Spine and Injury Center (Woodbury Spine Wellness Center)
• Woodbury Surgery Center, LLC
• Woodbury Surgery Center, LLC
• Hope F Woodbury, LPN
• Woodgrove Dental PA
• Angela Woolley, M.S., OTR/L
• Donna Jean Worthing, MS, CCC, SLP
• Brittany Nicole Wosiak, MA

• Ambulatory Surgical Clinic/Center in Woodbury, MN
• Providers in Woodbury, 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 Mar 2, 2014; 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.