LAKEWOOD SURGERY CENTER
NPI 1265487474
Clinic/Center - Ambulatory Surgical in Grand Rapids, MN

NPI Status: Active since May 24, 2006

Contact Information

1542 GOLF COURSE RD
SUITE 105
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 326-0667
Fax: (218) 326-3435

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 24D1050236
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-29-2026

About LAKEWOOD SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Lakewood Surgery Center, a provider established in Grand Rapids, Minnesota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1265487474 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Lakewood Surgery Center. The authorized official of this NPI record is Kelly Skelly (Executive Director)

NPI
1265487474
Provider Legal Name
HORSESHOE SURGERY CENTER, LLC
Other Organization Name
LAKEWOOD SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1542 GOLF COURSE RD SUITE 105 GRAND RAPIDS, MN 55744
Location Phone
(218) 326-0667
Location Fax
(218) 326-3435
Mailing Address
1542 GOLF COURSE RD SUITE 105 GRAND RAPIDS, MN 55744
Mailing Phone
(218) 326-0667
Mailing Fax
(218) 326-3435
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
01-29-2020
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KELLY SKELLY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(218) 326-3937

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.

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 22 times for 22 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 15 times for 15 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

This service was performed 618 times for 99 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 144 times for 88 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 15 times for 15 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
24D1050236
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 30, 2024
Certificate Expiration Date
January 29, 2026
Laboratory Director
COLLEEN HILL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lakewood Surgery Center 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.

Reviews for LAKEWOOD SURGERY CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265487474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 8 + 8 + 1 + 4 + 4 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265487474.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Specialist
1542 GOLF COURSE RD, SUITE 202
GRAND RAPIDS, MN 55744
Clinic/Center (Physical Therapy)
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Physical Therapist
1542 GOLF COURSE RD, SUITE 4
GRAND RAPIDS, MN 55744
Optometrist
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Physical Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Registered Nurse
1542 GOLF COURSE RD, SUITE 202
GRAND RAPIDS, MN 55744
Occupational Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Durable Medical Equipment & Medical Supplies
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Physical Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Clinic/Center (Critical Access Hospital)
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Occupational Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Surgery
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265487474, enumerated as an "organization" on May 24, 2006.

The provider is located at 1542 GOLF COURSE RD SUITE 105 GRAND RAPIDS, MN 55744 and the phone number is (218) 326-0667.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.