Minnesota Valley Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MINNESOTA VALLEY SURGERY CENTER LLC

Practice address

1000 W 140TH St Ste 102
Burnsville, MN 55337-4876

Phone

(952) 232-1110

Fax

(952) 232-1150

NPI assigned

May 17, 2006

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason S HolmNPI 1184832578

Title

Board Chair

Phone

(952) 232-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Minnesota Valley Surgery CenterCCN 24C0001056

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

Locations

Practitioners 2

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.

• Jason Scott Holm, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Burnsville, MN
  • NPI 1184832578
  NPD Authorized official
• Ryan David Horazdovsky, M.D.

  • Orthopaedic Surgery Physician
  • Shakopee, MN
  • NPI 1417196148
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1558313544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 140TH ST STE 102",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374876",
            "telephone_number": "952-232-1110",
            "fax_number": "952-232-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 140TH ST STE 102",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374876",
            "telephone_number": "952-232-1110",
            "fax_number": "952-232-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VALLEY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "952-232-1110"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Burnsville, MN
• Providers in Burnsville, 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 24, 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.