WOODBURY SURGERY CENTER, LLC
NPI 1669079992
Clinic/Center - Ambulatory Surgical in Woodbury, MN

NPI Status: Active since October 09, 2020

Contact Information

587 BIELENBERG DR STE 100
WOODBURY, MN
ZIP 55125
Phone: (651) 493-0343

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 24D2074458
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-09-2026

About WOODBURY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Woodbury Surgery Center, Llc, a provider established in Woodbury, Minnesota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1669079992 assigned on October 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Michael Miller (Board Member)

NPI
1669079992
Provider Name
WOODBURY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
587 BIELENBERG DR STE 100 WOODBURY, MN 55125
Location Phone
(651) 493-0343
Mailing Address
587 BIELENBERG DR STE 100 WOODBURY, MN 55125
Mailing Phone
(651) 493-0343
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2020
Last Update Date
10-09-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL MILLER

Authorized Official Title
BOARD MEMBER
Authorized Official Phone
(651) 493-0343

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 57 times for 31 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 11 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2074458
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 10, 2024
Certificate Expiration Date
March 09, 2026
Laboratory Director
MICHAEL KOEPLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Woodbury Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669079992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261290718918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 0 + 7 + 1 + 8 + 9 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1669079992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699497727WOODBURY SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)587 BIELENBERG DR STE 100
WOODBURY, MN 55125
(651) 493-0343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669079992, enumerated in the NPI registry as an "organization" on October 09, 2020

The provider is located at 587 Bielenberg Dr Ste 100 Woodbury, Mn 55125 and the phone number is (651) 493-0343

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The most common procedures or services performed by this practitioner are: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level and Removal of membrane of retina with removal of internal limiting membrane of retina.

The provider's CLIA number is 24D2074458 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 09, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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