MIDSOTA SURGICAL SUITES PA (NPI# 1952329757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952329757 |
| Entity Type | Organization |
| Organization Name | MIDSOTA SURGICAL SUITES PA |
| Practice Address |
3701 12th Street N Ste 101 St Cloud MN 56303 |
| Practice Telephone | 3202537257 |
| Practice Fax Number | 3202512938 |
| Mailing Telephone | 3202537257 |
| Mailing Fax Number | 3202512938 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | ENNIS H ARNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3202537257 |
| 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 |
|---|---|---|---|
| SMITH UCARE | 111041 | 01 | |
| MA | GROUP PROVIDER # | 192212200 | 01 |
| HEATH METRAHEALTH | 249000020 | 01 | |
| SMITH METRAHEALTH | 249000023 | 01 | |
| GROUP METRAHEALTH | 07537 | 01 | |
| HEATH UCARE | 111019 | 01 | |
| MA | SCHULTZ PROVIDER # | 038585900 | 01 |
| GROUP UCARE | 108167 | 01 | |
| SMITH P ONE | 532001 | 01 | |
| SMITH BCBS | 56657SM | 01 | |
| HEATH MEDICA | 1324451 | 01 | |
| HEATH BCBS | 54385HE | 01 | |
| GROUP BCBS | 53242MI | 01 | |
| SMITH MEDICA | 1324439 | 01 | |
| MA | HEATH PROVIDER # | 474867100 | 01 |
| HEATH P ONE | 532002 | 01 | |
| MA | SMITH PROVIDER # | 594867300 | 01 |
| Street Address |
3701 12TH STREET N STE 101 |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1801802244 | Merlin Eckes | Physician Assistant | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-31 |
| 1053339861 | Paul W Schultz | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1982622791 | Shannon Hackett | Occupational Therapist | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079992 | Woodbury Surgery Center, LLC | Clinic/Center | 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 | 2020-10-09 |
| 1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1942760285 | Altru Health System Ambulatory Surgery Centers LLC | Clinic/Center | 400 S Minnesota St Ste B, Crookston, MN 56716-1808 | 2019-03-22 |
| 1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
| 1891297925 | Pediatric Center Holdings, LLC | Clinic/Center | 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 | 2018-03-05 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 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.