| Southdale Specialty Surgery Center, Llc | |
|
6500 Barrie Rd Ste 300 Edina MN 55435-2348 | |
| (952) 368-3800 | |
| (952) 368-3801 |
| Full Name | Southdale Specialty Surgery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6500 Barrie Rd Ste 300, Edina, Minnesota |
| Authorized Official Name and Position | Sara Consultants Bhatti (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9523683800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southdale Specialty Surgery Center, Llc 1457 White Oak Dr Chaska MN 55318-2525 Ph: (952) 368-3800 | Southdale Specialty Surgery Center, Llc 6500 Barrie Rd Ste 300 Edina MN 55435-2348 Ph: (952) 368-3800 |
| NPI Number | 1871257071 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 2365832896 |
|---|---|
| Medicare Enrollment ID | O20231113003193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871257071 | NPI | - | NPPES |
| Provider Name | Chase K Sovell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184674301 PECOS PAC ID: 9335138130 Enrollment ID: I20040507000631 |
| Provider Name | Sue-mi C Tuttle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447442702 PECOS PAC ID: 9335293638 Enrollment ID: I20090820000892 |
| Provider Name | Gregory Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629265079 PECOS PAC ID: 3678628344 Enrollment ID: I20090901000501 |
| Provider Name | Ahsan M Bhatti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518934736 PECOS PAC ID: 3678616703 Enrollment ID: I20100211000287 |
| Provider Name | J Bart Muldowney |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952335960 PECOS PAC ID: 1355486036 Enrollment ID: I20100305000274 |
| Provider Name | Matthew R Braasch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578772554 PECOS PAC ID: 2466623335 Enrollment ID: I20110926000547 |
| Provider Name | Matthew J O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881867810 PECOS PAC ID: 3779702154 Enrollment ID: I20170920003106 |
| Provider Name | Ching-ho Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942644323 PECOS PAC ID: 7517200041 Enrollment ID: I20190730000629 |
| Provider Name | Joseph Thomas Mahon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295171072 PECOS PAC ID: 3779811690 Enrollment ID: I20190829002918 |
| Provider Name | Lucian Panait |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639337017 PECOS PAC ID: 7113196213 Enrollment ID: I20200625002180 |
| Provider Name | Vishal Kudav |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639551054 PECOS PAC ID: 2466765847 Enrollment ID: I20211008002748 |
| Provider Name | Stephen Michael Overholser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265676654 PECOS PAC ID: 3476884362 Enrollment ID: I20220815002459 |
| Provider Name | Erin C Worden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174986426 PECOS PAC ID: 7517361538 Enrollment ID: I20240613001406 |
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