Minimally Invasive Surgical and Neuroscience LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FSSC013 Issued in DE

Legal business name

MINIMALLY INVASIVE SURGICAL AND NEUROSCIENCE LLC

Practice address

774 Christiana Rd
Suite 2
Newark, DE 19713-4236

Phone

(302) 738-0300

Fax

(302) 355-0155

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• Delaware Outpatient Center for Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Listed as

Delware Outpatient Center for SurgeryCCN 08C0001021

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

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1508911728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "SUITE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-738-0300",
            "fax_number": "302-355-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "SUITE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-738-0300",
            "fax_number": "302-355-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGICAL AND NEUROSCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DE",
            "license": "FSSC013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Outpatient Center for Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delaware Outpatient Center for Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Reflections
• Minds in Motion Integrated Behavioral Health
• Mindshield LLC
• Mindvisory LLC
• Danielle Marie Minett, M.D.
• Stephanie Ann Minite, MS, LAT, ATC
• Jennifer Terrano Mink, M.D.
• Patricia Ann Mink, LMT
• Cathryn Elizabeth Minnich, AGNP
• Miramace, Inc.

• Ambulatory Surgical Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.