Orthomidwest Surgery Center Beloit, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOMIDWEST SURGERY CENTER BELOIT, LLC

Practice address

2102 Freeman Parkway
Beloit, WI 53511

Phone

(815) 398-9491

NPI assigned

Aug 8, 2022

Last updated

Jun 6, 2023By 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

Leslie Elmer, CPCS

Title

Director, Credentialing and Risk

Phone

(815) 381-7431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Orthomidwest Surgery Center Beloit LLCCCN 52C0001149

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Osf Saint Francis, Inc

  dba OSF Home Medical Equipment - Galesburg

  • Durable Medical Equipment & Medical Supplies
  • Galesburg, IL
  • NPI 1972510907

  Member Of

  NPD member

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1740918887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-381-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 FREEMAN PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "815-398-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMIDWEST SURGERY CENTER BELOIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING AND RISK",
        "authorized_official_telephone_number": "815-381-7431",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Olson, FNP
• Diane K Olson, LPC
• Pawel Olszewski, MD
• John Gerard Onderak, D.D.S.
• Orthodontic Experts of Wisconsin, LLC
• Yon D Ough, MD
• Allison Anne Marie Ozolins, MSW
• Cynthia L. Palabrica, M.D.
• Kasidie M Pallansch
• Matthew Parish, CPHT

• Ambulatory Surgical Clinic/Center in Beloit, WI
• Providers in Beloit, 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 Jun 6, 2023; 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.