Central Minnesota Surgeons LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CENTRAL MINNESOTA SURGEONS LTD

Practice address

2000 23Rd Street South, Suite 300
Sartell, MN 56377-4768

Phone

(320) 251-5676

Fax

(320) 251-0623

NPI assigned

Aug 19, 2006

Last updated

Sep 13, 2010By 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

Darren Robert Glass, MD

Title

President

Phone

(320) 251-5676

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Kristin N.M. Ewing, RDLD

  • Registered Dietitian
  • Saint Cloud, MN
  • NPI 1669420709
  NPD (past)
• Melissa Marie Krone, RN

  • Registered Nurse
  • Sartell, MN
  • NPI 1831420637
  NPD (past)
• Kristi Marie Sabrowsky, RD

  • Registered Dietitian
  • Sartell, MN
  • NPI 1104059302
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1861506263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 23RD STREET SOUTH, SUITE 300",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774768",
            "telephone_number": "320-251-5676",
            "fax_number": "320-251-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 23RD STREET SOUTH, SUITE 300",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774768",
            "telephone_number": "320-251-5676",
            "fax_number": "320-251-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-251-5676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488808100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "40020CE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centracare Clinic (CentraCare Eye Center)
• Centracare Clinic (Central Minnesota Child Advocacy Center (CAC))
• Central Lakes Oral & Facial Surgery
• Central Minnesota Endodontics, PA
• Central Minnesota Retina Consultants, PLLC (Central Minnesota Retina Specialists)
• Central Minnesota Surgical Center, LLC
• Changing Pathways LLC
• Ashley Nicole Chaos
• Alexandria B Chapman
• Jackie Marie Chatfield

• Surgery Physician in Sartell, MN
• Providers in Sartell, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.