Healtheast Surgery Center-Maplewood, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

356445 Issued in MN

Legal business name

HEALTHEAST SURGERY CENTER-MAPLEWOOD, LLC

Practice address

2945 Hazelwood St Ste 300
Maplewood, MN 55109-1244

Phone

(651) 471-9701

Fax

(651) 471-9766

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Susan Biggs

Title

Administrator

Phone

(612) 518-5185

Specialties & licenses 2

Addresses

Other names 1

• Maplewood Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Healtheast Surgery Center Maplewood LLCCCN 24C0001009

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.

• Healtheast St. John'S Hospital

  • General Acute Care Hospital
  • Maplewood, MN
  • NPI 1447218482

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Ellison, MD

  • Family Medicine Physician
  • Westfield, NJ
  • NPI 1306838305
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1992763932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 300",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091244",
            "telephone_number": "651-471-9701",
            "fax_number": "651-471-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 300",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091244",
            "telephone_number": "651-471-9701",
            "fax_number": "651-471-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEAST SURGERY CENTER-MAPLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "BIGGS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-518-5185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "330892",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "356445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maplewood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healtheast Medical Research Institute
• Healtheast Medical Research Institute
• Healtheast Medical Research Institute
• Healtheast St. John'S Hospital
• Healtheast St. John'S Hospital
• Hearing Unlimited LC
• Amy Jo Heckman
• Kelly Jean Hedblad, ACNPC-AG
• Mackenzie Lin Hedge, DNP, APRN, FNP-C
• Lisa Heille

• Ambulatory Surgical Clinic/Center in Maplewood, MN
• Providers in Maplewood, 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 Jan 14, 2019; 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.