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GAYLORD SURGERY CENTER, LLC
NPI 1093694044
Surgery in Gaylord, MI

Active since September 02, 2025CLIA 23D2336115 · Waiver
309 W NORTH ST, GAYLORD, MI 49735(231) 876-7411 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Sep 2, 2025 (2 updates tracked since 2025).

About Gaylord Surgery Center, Llc NPPES

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

GAYLORD SURGERY CENTER, LLC (NPI 1093694044) is a healthcare organization registered as a surgery in Gaylord, Michigan and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Kirsten Korth-white, President/ Ceo East Region, as its authorized official.

NPPES Registry Identity

NPI1093694044
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGAYLORD SURGERY CENTER, LLC
Location Address309 W NORTH STGaylord, MI 49735-1524
Mailing Address7665 S Us 131 HwyGaylord, MI 49735 · (231) 876-7411
Phone(231) 876-7411
Organization SubpartNo
Authorized OfficialKirsten Korth-whitePresident/ Ceo East Region · (989) 348-0720
Enumeration DateSeptember 2, 2025
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1093694044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
309 W NORTH ST, Gaylord, MI 49735
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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 23D2336115

Gaylord Surgery Center, LLC · Gaylord, MI
Active · expires Dec 22, 2027
CLIA Number23D2336115
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJames R. Shurlow
Laboratory Phone(989) 731-3650
Laboratory LocationGaylord Surgery Center, LLC309 North Street, Gaylord, MI 49735
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Gaylord Surgery Center, LLC's NPI number?

The NPI number for Gaylord Surgery Center, LLC is 1093694044. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Gaylord Surgery Center, LLC located?

Gaylord Surgery Center, LLC is located at 309 W North St, Gaylord, MI 49735. The listed phone number is (231) 876-7411.

What is Gaylord Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Gaylord Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2336115) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gaylord Surgery Center, LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.