Active NPI
Crosstown Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Edina, MN
National Provider Identifier
1720398167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CROSSTOWN SURGERY CENTER LLC
- Practice address
- 4010 West 65TH Street
Edina, MN 55435-1706 - Phone
- (952) 456-7300
- Fax
- (952) 456-7399
- NPI assigned
- Oct 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Zeigler
- Title
- Vice President
- Phone
- (952) 456-7436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | MN | Primary |
Addresses
Primary practice location
4010 West 65TH Street
Edina, MN 55435-1706
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 456-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110207000178 | MN | Part B Supplier - Ambulatory Surgical Center | 4183804347 | Practice locations: Edina, MN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Crosstown Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2015463 | Crosstown Surgery Center LLC | Certificate of waiver | Oct 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
4010 W 65th St
Ste 300
Edina, MN 55435
Phone (952) 456-7300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Stillwater, MN
- NPI 1043299738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1720398167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 AMERICAN BLVD W STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314442",
"telephone_number": "952-456-7300",
"fax_number": "952-456-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 WEST 65TH STREET",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-456-7300",
"fax_number": "952-456-7399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSTOWN SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-19",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "ZEIGLER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "952-456-7436"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.