West Allis Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST ALLIS SURGERY CENTER LLC

Practice address

10150 W National Ave Ste 350
West Allis, WI 53227-2153

Phone

(414) 296-0039

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Tina Roberts

Title

Ceo

Phone

(414) 296-0039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1699383703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 350",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272153",
            "telephone_number": "414-877-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 350",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272153",
            "telephone_number": "414-296-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALLIS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-296-0039"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• West Allis Primary Care Physicians, S.C.
• West Allis School District
• West Park Place Senior Living Care
• West Side Neurology SC
• Melissa L West, MS, CGC
• Westallisctd LLC
• Peyton Ann Westcott, PA-C

• Ambulatory Surgical Clinic/Center in West Allis, WI
• Providers in West Allis, 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 Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.