Midwest Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDWEST SURGERY CENTER, LLC

Doing business as

Midwest Surgery Center - Eagan

Practice address

2975 Holiday CT Ste 100
Eagan, MN 55121-1177

Phone

(612) 518-5185

NPI assigned

Jul 27, 2023

Last updated

Nov 7, 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

Michael Miller

Title

Group Vice President Operations

Phone

(612) 518-5185

Specialties & licenses 1

Addresses

Other names 1

• Midwest Surgery Center - Eagan Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881375319. Details of each certification follow.

• CCN 24C0001119 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 24C0001119

Legal name

Midwest Surgery Center - Eagan

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 13, 2023

Last certification

Nov 13, 2023

Ownership / control type

Proprietary

Facility address

2975 Holiday Court Suite 100
Eagan, MN 55121

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midwest Surgery Center, LLC

  dba Midwest Surgery Center- Woodbury

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

  0244127231

  Same PAC ID

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

CLIA laboratory certificates

Locations

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.

• Jamie Katherine Flohr, M.D.

  • Otolaryngology Physician
  • Woodbury, MN
  • NPI 1144451691
  NPD (past)

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1881375319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 HOLIDAY CT STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211177",
            "telephone_number": "612-518-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 HOLIDAY CT STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211177",
            "telephone_number": "612-518-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "612-518-5185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Surgery Center - Eagan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Surgery Center - Eagan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany L. Meyers, RN, FNP-C, CHFN
• MH Health Care Services, PC
• Filmon L Michael
• Megan Michels
• Jessica Renee Middleton
• Allison V Mikota, OTR/L
• Amber Lea Miller, D.C.
• Annette Miller, OTRL
• Carrie Lynn Miller, LMFT
• Jonathan M Miller, PHD LP

• Ambulatory Surgical Clinic/Center in Eagan, MN
• Providers in Eagan, 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 Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.