NORTHWOODS SURGERY CENTER, LLC (NPI# 1407046436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407046436 |
| Entity Type | Organization |
| Organization Name | NORTHWOODS SURGERY CENTER, LLC |
| Practice Address |
611 Veterans Pkwy Woodruff WI 54568 |
| Practice Telephone | 7153588600 |
| Mailing Telephone | 7153588600 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. MARK S BALAS (PRESIDENT) |
| Authorized Official Telephone | 7155630090 |
| 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 |
| Street Address |
611 VETERANS PKWY |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891995056 | Katy Ellingson | Physician Assistant | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2007-07-24 |
| 1912525882 | Family Foot and Ankle Clinic LLC | Podiatrist | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2020-07-08 |
| 1184955981 | Northwoods Anesthesia Associates, S. C. | Nurse Anesthetist, Certified Registered | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 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.