MINNESOTA SURGERY CENTER, LTD. (NPI# 1215056239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215056239 |
| Entity Type | Organization |
| Organization Name | MINNESOTA SURGERY CENTER, LTD. |
| Practice Address |
2104 Northdale Blvd Nw Suite 220 Minneapolis MN 55433-3046 |
| Practice Telephone | 7635376000 |
| Practice Fax Number | 7635376666 |
| Mailing Telephone | 7635376000 |
| Mailing Fax Number | 7635376666 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MARSHA J THIEL (CEO) |
| Authorized Official Telephone | 7635376000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
360891 | MN | Ambulatory Health Care Facilities |
| Street Address |
2104 NORTHDALE BLVD NW SUITE 220 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55433-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382379 | Davis Shryer | Counselor | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2016-04-26 |
| 1629311089 | Nura Pa | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2013-04-03 |
| 1477840379 | Sarah Peirce | Registered Nurse | 2104 Northdale Blvd Nw, Minneapolis, MN 55433-3028 | 2011-06-30 |
| 1750534582 | Lena W Truong | Physician Assistant | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2008-10-24 |
| 1467612721 | Nura Pa | Physical Therapist | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2008-06-11 |
| 1487814760 | Irene A Lenmark | Physical Therapist | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2008-06-11 |
| 1306032065 | M E Mcnutt | Nurse Practitioner | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2007-09-17 |
| 1083817472 | Michael Dean Spiry | Physical Therapist | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028 | 2007-06-06 |
| 1568583516 | Kristen Jean Bebeau | Registered Nurse | 2104 Northdale Blvd Nw, Minneapolis, MN 55433-3005 | 2007-04-03 |
| 1760501274 | Riah Naegele Olson | Registered Nurse | 2104 Northdale Blvd Nw, Minneapolis, MN 55433-3005 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
| 1255519351 | North Star Surgical Services, LLC | Clinic/Center | 40 S. 7th St, Suite 126, Minneapolis, MN 55402-1644 | 2008-01-31 |
| 1063019586 | Greenway Surgical Suites, LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2020-10-07 |
| 1659849735 | Tria Orthopaedic Center, LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2018-11-07 |
| 1275067068 | University of Minnesota Health Clinics and Surgery Center, Inc | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2017-04-18 |
| 1972988400 | Tria Orthopaedic Center Asc LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-07-27 |
| 1639553779 | University of Minnesota Health Clinics and Surgery Center, Inc. | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55414-0000 | 2015-07-18 |
| 1205102613 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 East 28th Street, Suite 100, Minneapolis, MN 55407-1453 | 2012-03-29 |
| 1902172745 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2012-03-27 |
| 1083710784 | Riverside Endoscopy Center | Clinic/Center | 606 24th Ave S, Suite 800, Minneapolis, MN 55454-1455 | 2006-09-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55433 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.