Alliance Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLIANCE SURGERY CENTER, LLC

Practice address

3663 North Country Drive
Traverse City, MI 49684-4587

Phone

(231) 499-4419

NPI assigned

Jul 23, 2019

Last updated

Dec 9, 2021By 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

Tricia Inglis Wollam

Title

Clinical Administrator

Phone

(231) 252-1228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Alliance Surgery CenterCCN 23C0001142

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

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.

• Todd Louis Galdes, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1376703868
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1699328146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 N COUNTRY DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844587",
            "telephone_number": "231-252-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 NORTH COUNTRY DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844587",
            "telephone_number": "231-499-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "WOLLAM",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "INGLIS",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "231-252-1228"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Allen, D.D.S., M.S.
• Mark Walter Allen
• Pamela Lea Allen
• Savannah J Allen
• Stephanie Allers
• Allied Chiropractic Care
• William Charles Allsopp, D.O.
• Jessica Alongi
• Elise Altonen, LPC
• Peter F Alvarado, D.O.

• Ambulatory Surgical Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.