FAMILY SURGERY CENTER, LLC (NPI# 1831200120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831200120 |
| Entity Type | Organization |
| Organization Name | FAMILY SURGERY CENTER, LLC |
| Practice Address |
1801 19th Ave Sw Willmar MN 56201-4946 |
| Practice Telephone | 3202357700 |
| Practice Fax Number | 3202357701 |
| Mailing Telephone | 3202357700 |
| Mailing Fax Number | 3202357701 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MRS. CARMEN MACIK (ADMINISTRATOR) |
| Authorized Official Telephone | 3202145759 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
330845 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 315455600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962583369 | Family Surgery Center, LLC | Anesthesiology | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-10-18 |
| Street Address |
1801 19TH AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386693604 | Jeffrey L Fischer | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-05-06 |
| 1760966758 | Megan Katherine Murphy | Physician Assistant | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2018-09-17 |
| 1073004289 | Whitney Stock | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2018-05-23 |
| 1366977936 | Kristen Dargay | Audiologist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2017-04-20 |
| 1386081065 | Jennifer Lynn Fairbanks | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201 | 2013-06-04 |
| 1386990315 | Kara Degroot | Nurse Practitioner | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2012-07-27 |
| 1366752248 | Shane Jahraus | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2010-10-13 |
| 1093997843 | Thomas J Lenz | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2007-12-04 |
| 1396963922 | Martin Heinz Janning | Otolaryngology | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2007-04-20 |
| 1275615445 | Audiology Center Inc. | Audiologist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404115 | Willmar Medical Services, LLP | Clinic/Center | 1320 1st St S, Willmar, MN 56201-4242 | 2006-02-05 |
| 1902319478 | Carris Health LLC | Clinic/Center | 1320 1st St S, Willmar, MN 56201-4242 | 2017-11-07 |
| 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 |
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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.