Midwest Surgery Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

HE-01084-04 Issued in MN

Legal business name

MIDWEST SURGERY CENTER

Practice address

2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523

Phone

(651) 642-1106

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By 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

H. Joseph Drannen

Title

Executive Director

Phone

(651) 714-6904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Midwest Surgery Center, LLC

  dba Midwest Surgery Center- Woodbury

  • Ambulatory Surgical Clinic/Center
  • Woodbury, MN
  • NPI 1629130521

  O20040303000960

  Same enrollment

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1730361478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODBURY DRIVE",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-642-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252523",
            "telephone_number": "651-642-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "DRANNEN",
        "authorized_official_first_name": "H. JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-714-6904"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "HE-01084-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Ancillary Services, Inc (Midwest Hearing)
• Midwest Autism and Therapy Center of Iowa, LLC (Midwest Autism and Therapy Center of Minnesota)
• Midwest Endodontics, P.a.
• Midwest Eye Laboratories Woodbury LLC
• Midwest Minds Assessment and Therapy, PLLC (Midwest Minds)
• Midwest Surgery Center, LLC (Midwest Surgery Center- Woodbury)
• Alexa Jesse Miesbauer, PT, DPT
• Migdal Psychological Services, LLC
• Lori Elmer Migdal, PH.D.
• Kelly Jean Miklas, MA, LPCC

• Certified Registered Nurse Anesthetist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.