Organization Active NPI

Fall General Surgery LLC

  • Surgery Physician
  • Ashland, WI
National Provider Identifier
1659316396
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34121 Issued in WI
Legal business name
FALL GENERAL SURGERY LLC
Doing business as
Fall General Surgery, LLC
Practice address
216 3Rd St W
Suite 201
Ashland, WI 54806-1602
Phone
(715) 685-0656
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. George A Fall, MDNPI 1972545622
Title
Owner Member
Phone
(715) 685-0656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 34121 WI Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

216 3Rd St W
Suite 201
Ashland, WI 54806-1602

Mailing address

216 3Rd St W
Suite 201
Ashland, WI 54806-1602
Phone (715) 685-0656

Other identifiers 3

IdentifierTypeStateIssuer
C05818OtherMNMEDICARE PTAN
21280100MedicaidWI
DA5810OtherWIRAILROAD MEDICARE

Other names 1

  • Fall General Surgery, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040722000031 WI Part B Supplier - Clinic/Group Practice 1850371782 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, WI
O20110519000180 MN Part B Supplier - Clinic/Group Practice 1850371782 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, MN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2333878Fall General Surgery, LLC216 3Rd St W, Suite 201, Ashland, WI 54806Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Locations

216 3rd St W
Ste 201
Ashland, WI 54806
Phone (715) 685-0656

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10042050

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1659316396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 3RD ST W",
            "address_2": "SUITE 201",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061602",
            "telephone_number": "715-685-0656",
            "fax_number": "715-685-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 3RD ST W",
            "address_2": "SUITE 201",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061602",
            "telephone_number": "715-685-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "715-685-0656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "34121",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C05818",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21280100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5810",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fall General Surgery, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fall General Surgery, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.