Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER, LLC

Practice address

3111 W Rawson Ave
Franklin, WI 53132-9417

Phone

(414) 761-2600

Fax

(414) 761-2620

NPI assigned

Aug 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Satish Kodali, M.D.

Title

President

Phone

(414) 761-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Surgery Center LLCCCN 52C0001085

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.

• Aurora Health Care Ventures Inc.

  • Eyewear Supplier
  • Summit, WI
  • NPI 1376791020

  Member Of

  NPD member

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1902052350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329417",
            "telephone_number": "414-761-2600",
            "fax_number": "414-761-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329417",
            "telephone_number": "414-761-2600",
            "fax_number": "414-761-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "KODALI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-761-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Strick, LAT
• Christine Anne Strong, RN
• Kenneth Daniel Strzelecki, D.O.
• Hye J Suk
• Anna Sully
• Surgi Plus Clinic SC
• Heather Dawn Sweet, DC
• Stacy Sylvester
• Alyssa Szczepaniak, PT, DPT
• Jeffrey Szmanda

• Ambulatory Surgical Clinic/Center in Franklin, WI
• Providers in Franklin, 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 Aug 19, 2009; 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.