Duluth Surgical Suites LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

384481 Issued in MN

Legal business name

DULUTH SURGICAL SUITES LLC

Practice address

2118 London Rd
Duluth, MN 55812-2127

Phone

(218) 522-0634

NPI assigned

Aug 1, 2017

Last updated

Apr 23, 2018By 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

Samuel Paul Harms, MD

Title

Ceo

Phone

(218) 481-7812

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Duluth Surgical Suites LLCCCN 24C0001096

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Duluth Surgical Suites2 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.

• Duluth Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Duluth, MN
  • NPI 1356988554
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orthopedic Associates of Duluth, P.a.

  dba Orthopaedic Associates of Duluth, P.A.

  • Specialist
  • Duluth, MN
  • NPI 1225033715

  Member Of

  NPD member

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.

• David T Chang, MD

  • Neurological Surgery Physician
  • Roseville, MN
  • NPI 1336116052
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1730603622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-481-7812",
            "fax_number": "218-481-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-522-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-481-7812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "384481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duluth Psychological Clinic Inc
• Duluth Public Schools Academy
• Duluth Regional Care Center
• Duluth Soma, PLLC
• Duluth Surgical Suites LLC
• Duluthcare
• Duluthtms, LLC
• Christine Ann Dumm, ATC
• Zada Jane Dunaiski, RN, CNP
• Hannah Dunbar

• Ambulatory Surgical Clinic/Center in Duluth, MN
• Providers in Duluth, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.