Organization Active NPI

Nura Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Edina, MN
National Provider Identifier
1982376208
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NURA SURGICAL CENTER LLC
Practice address
7400 France Ave S Ste 102
Edina, MN 55435-4738
Phone
(612) 385-8337
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Gary Pelletier
Title
VP of Business Services
Phone
(763) 767-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7400 France Ave S Ste 102
Edina, MN 55435-4738

Mailing address

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone (763) 537-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 0790.0022@direct.painphysicians.nextgenshare.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1982376208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FRANCE AVE S STE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354738",
            "telephone_number": "612-385-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "763-767-7124"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0790.0022@direct.painphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email address",
            "address_1": "7400 France Ave S Ste 102",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554354738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.