NPIMap

Organization Active NPI

Woodbury Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Woodbury, MN
National Provider Identifier
1699497727
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WOODBURY SURGERY CENTER, LLC
Practice address
587 Bielenberg Dr Ste 100
Woodbury, MN 55125-4452
Phone
(651) 493-0343
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Miichael Miller
Title
Regional Vice President Operations
Phone
(612) 518-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

587 Bielenberg Dr Ste 100
Woodbury, MN 55125-4452

Mailing address

587 Bielenberg Dr Ste 100
Woodbury, MN 55125-4452

National Provider Directory

National Provider Directory
Tax ID family
Woodbury Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1699497727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BIELENBERG DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 BIELENBERG DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254452",
            "telephone_number": "651-493-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MIICHAEL",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "612-518-5185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.