Premier Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER SURGERY CENTER, LLC

Practice address

200 Division St Ste H
Stevens Point, WI 54481-1843

Phone

(715) 544-1775

Fax

(715) 544-1769

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Todd A Fairchild, MDNPI 1568672525

Title

Member

Phone

(715) 544-1775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Ambulatory surgical center certification: CCN 52C0001157

Legal name

Premier Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 3, 2025

Last certification

Feb 3, 2025

Ownership / control type

Proprietary

Facility address

200 Division St., Suite H
Stevens Point, WI 54481

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd A Fairchild, MD

  • Orthopaedic Surgery of the Spine Physician
  • Stevens Point, WI
  • NPI 1568672525
  NPD (past) Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1497599609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811848",
            "telephone_number": "715-544-1775",
            "fax_number": "715-544-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVISION ST STE H",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811843",
            "telephone_number": "715-544-1775",
            "fax_number": "715-544-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-544-1775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Powell, M.S.
• Powerback Rehabilitation LLC
• Steven Bruce Pray, MSW
• Premier Clinics of Wisconsin, S.C.
• Premier Spine Group, S.C.
• Brittany Printz
• Proactive Wellness and Chiropractic
• Janice Marie Prosser, PT
• Prosthetic Laboratories of Rochester Inc
• Prosthetic Orthotic Center

• Ambulatory Surgical Clinic/Center in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.