Active NPI
Midsota Surgical Suites PA
- Ambulatory Surgical Clinic/Center
- St Cloud, MN
National Provider Identifier
1952329757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIDSOTA SURGICAL SUITES PA
- Practice address
- 3701 12TH Street N
Ste 101
St Cloud, MN 56303 - Phone
- (320) 253-7257
- Fax
- (320) 251-2938
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ennis H Arnston
- Title
- Executive Director
- Phone
- (320) 253-7257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3701 12TH Street N
Ste 101
St Cloud, MN 56303
Mailing address
3701 12TH Street N
Ste 101
St Cloud, MN 56303
Phone (320) 253-7257
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038585900 | Other | MA | SCHULTZ PROVIDER # |
| 54385HE | Other | HEATH BCBS | |
| 111041 | Other | SMITH UCARE | |
| 1324451 | Other | HEATH MEDICA | |
| 532001 | Other | SMITH P ONE | |
| 532002 | Other | HEATH P ONE | |
| 53242MI | Other | GROUP BCBS | |
| 1324439 | Other | SMITH MEDICA | |
| 192212200 | Other | MA | GROUP PROVIDER # |
| 474867100 | Other | MA | HEATH PROVIDER # |
| 594867300 | Other | MA | SMITH PROVIDER # |
| 07537 | Other | GROUP METRAHEALTH | |
| 249000020 | Other | HEATH METRAHEALTH | |
| 249000023 | Other | SMITH METRAHEALTH | |
| 56657SM | Other | SMITH BCBS | |
| 108167 | Other | GROUP UCARE | |
| 111019 | Other | HEATH UCARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Saint Cloud, MN
- NPI 1003863366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1952329757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 12TH STREET N",
"address_2": "STE 101",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-253-7257",
"fax_number": "320-251-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH STREET N",
"address_2": "STE 101",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-253-7257",
"fax_number": "320-251-2938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDSOTA SURGICAL SUITES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "ARNSTON",
"authorized_official_first_name": "ENNIS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "320-253-7257"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHULTZ PROVIDER #",
"identifier": "038585900",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH BCBS",
"identifier": "54385HE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH UCARE",
"identifier": "111041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH MEDICA",
"identifier": "1324451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH P ONE",
"identifier": "532001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH P ONE",
"identifier": "532002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS",
"identifier": "53242MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH MEDICA",
"identifier": "1324439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PROVIDER #",
"identifier": "192212200",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH PROVIDER #",
"identifier": "474867100",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH PROVIDER #",
"identifier": "594867300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP METRAHEALTH",
"identifier": "07537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH METRAHEALTH",
"identifier": "249000020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH METRAHEALTH",
"identifier": "249000023",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH BCBS",
"identifier": "56657SM",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP UCARE",
"identifier": "108167",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH UCARE",
"identifier": "111019",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in St Cloud, MN
- Chad Mickelson, DPT
- Amy Midas
- Kristina Middendorf, RN
- Midpoint Support Services L.L.C.
- Midsota Plastic and Reconstructive Surgeons PA
- Midway Counseling Services LLC
- Midwest Behavioral Healing Center Inc
- Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA
- Midwest Eap Solutions
- Midwest Eap Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.