AMBULATORY SURGICAL CENTER, LLC (NPI# 1891717823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891717823 |
| Entity Type | Organization |
| Organization Name | AMBULATORY SURGICAL CENTER, LLC |
| Practice Address |
501 Doctors Ct Oshkosh WI 54901-2025 |
| Practice Telephone | 9202363550 |
| Practice Fax Number | 9202363548 |
| Mailing Telephone | 9202363550 |
| Mailing Fax Number | 9202363548 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. STEPHEN S DUDLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9202363550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41911700 | 05 | |
| GORDON A BEARDWOOD | NPI 1316938038 | 01 | |
| BRADLEY N LEMKE | NPI 1437244621 | 01 | |
| ERIC M LARSON | NPI 1275513467 | 01 | |
| STEPHEN S DUDLEY | NPI 1386753523 | 01 | |
| STEPHEN J MERFELD | NPI 1619957230 | 01 |
| Street Address |
501 DOCTORS CT |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659790681 | Tricia Rocole Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 501 Doctors Ct, Oshkosh, WI 54901-2025 | 2014-04-07 |
| 1851710891 | Sweet Dreams Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 501 Doctors Ct, Oshkosh, WI 54901-2025 | 2014-04-07 |
| 1730508771 | Angela Mathias, LLC | Nurse Anesthetist, Certified Registered | 501 Doctors Ct, Oshkosh, WI 54901-2025 | 2014-04-07 |
| 1043316839 | John E Buonora Crna, S.c. | Anesthesiology | 501 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134330533 | Renaissance Surgery Center LLC | Clinic/Center | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8369 | 2007-05-25 |
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|---|---|---|---|---|
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| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| Find all providers with the same taxonomy | ||||
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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.