Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GAYLORD SURGERY CENTER, LLC
NPI 1093694044
Clinic/Center - Ambulatory Surgical in Gaylord, MI

Q: 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.

Q: What is Gaylord Surgery Center, LLC's specialty?

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

Active since September 02, 2025CLIA 23D2336115 · Waiver

309 NORTH ST, GAYLORD, MI 49735(231) 876-7411 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Sep 16, 2025, Sep 2, 2025 (3 updates tracked since 2025).

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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 an ambulatory surgical 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 Taxonomy261QA1903X

Legal Business NameGAYLORD SURGERY CENTER, LLC

Location Address309 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 UpdateOctober 6, 20263 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1093694044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

309 NORTH ST, Gaylord, MI 49735

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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: Address 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 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

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 October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.