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WAYZATA SURGERY CENTER
NPI 1043812787
Clinic/Center - Ambulatory Surgical in Wayzata, MN

Active since November 09, 2020CLIA 24D2082641 · Waiver
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391(763) 559-4500 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayzata Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYZATA SURGERY CENTER (NPI 1043812787) is a healthcare organization registered as an ambulatory surgical in Wayzata, Minnesota and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists John A Ness, President, as its authorized official.

NPPES Registry Identity

NPI1043812787
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWAYZATA SURGERY CENTER
Location Address935 WAYZATA BLVD E STE 200Wayzata, MN 55391-2513
Mailing Address935 Wayzata Blvd E Ste 200Wayzata, MN 55391-2513 · (763) 559-4500
Phone(763) 559-4500
Organization SubpartYesParent: Omni Medical Center Pllc
Authorized OfficialJohn A NessPresident · (763) 559-4500
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1043812787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
935 WAYZATA BLVD E STE 200, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2082641

Wayzata Surgical Center · Wayzata, MN
Active · expires Aug 18, 2026
CLIA Number24D2082641
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorJohn A. Ness
Laboratory Phone(763) 559-4500
Laboratory LocationWayzata Surgical Center935 Wayzata Blvd E, Wayzata, MN 55391
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMNI FACIAL PLASTIC SURGERY
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (320) 559-4500
MITCHELL HAGEN MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 220-8030
DR. JOHN A NESS MD
Surgery (Plastic and Reconstructive Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
DR. BRYAN NICHOLAS ROLFES M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
OMNI MEDICAL CENTER PLLC
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
PINNACLE DERMATOLOGY, S.C.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 220-8030
MILES BICHANICH MD
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 237-5149
OMNI MEDICAL CENTER PLLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayzata Surgery Center's NPI number?

The NPI number for Wayzata Surgery Center is 1043812787. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Wayzata Surgery Center located?

Wayzata Surgery Center is located at 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391. The listed phone number is (763) 559-4500.

What is Wayzata Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Wayzata Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2082641) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayzata Surgery Center was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.