MIDWEST SURGERY CENTER LLC NPI 1629130521

NPI Information

  • NPI: 1629130521
  • Provider Name: MIDWEST SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MIDWEST SURGERY CENTER- WOODBURY
  • CLIA Number: 24D0868367
  • Address: 2080 WOODWINDS DR
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 642-1106

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NPI Details

MIDWEST SURGERY CENTER, LLC is an ambulatory surgical clinic center in Woodbury, MN. MIDWEST SURGERY CENTER, LLC NPI is 1629130521. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Surgery Center- Woodbury.

The provider's business location address is:

2080 WOODWINDS DR
WOODBURY, MN
ZIP 55125-523
Phone: (651) 642-1106
Fax: (651) 642-9837

The provider's authorized official is Vanessa J Tossey .
The authorized official title is Chief Administrative Officer and has the following contact phone number (651) 642-9199.

The CLIA number assigned to this NPI record is 24D0868367 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Repair of brow paralysis (HCPCS:67900)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Repair of nasal passage (HCPCS:30465)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1416712100OTHERMINNESOTAMEDICAL ASSISTANCE
262804MIOTHERMINNESOTABCBS CRNA
3108281OTHERMINNESOTAUCARE
40T542MIOTHERMINNESOTABLUE CROSS BLUE SHIELD OF MN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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