SURGERY CENTER OF KALAMAZOO LLC
NPI 1700966710
Clinic/Center - Ambulatory Surgical in Portage, MI

Active since October 16, 2006CLIA 23D1031006 · Waiver
3200 W CENTRE AVE, SUITE 101, PORTAGE, MI 49024(269) 323-9905 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Feb 8, 2023 (2 updates tracked since 2023).

About Surgery Center Of Kalamazoo Llc NPPES

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

SURGERY CENTER OF KALAMAZOO LLC (NPI 1700966710) is a healthcare organization registered as an ambulatory surgical in Portage, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700966710
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF KALAMAZOO LLC
Location Address3200 W CENTRE AVE, SUITE 101Portage, MI 49024-4889
Mailing Address3200 W Centre Ave, Suite 101Portage, MI 49024-4889 · (269) 323-9905
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1700966710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3200 W CENTRE AVE, Portage, MI 49024

Accepted Insurance

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 23D1031006

Surgery Center Of Kalamazoo · Portage, MI
Active · expires Sep 21, 2026
CLIA Number23D1031006
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorEmily Williamson
Laboratory Phone(269) 323-9905
Laboratory LocationSurgery Center Of Kalamazoo3200 W Centre Avenue, Portage, MI 49002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
14,004 services35 patients
Removal of cataract with insertion of prosthetic lens 66984
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.
792 services473 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
70 services51 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
57 services37 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
37 services36 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
32 services16 patients

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Neurology)
3200 W CENTRE AVE, SUITE 203
PORTAGE, MI 49024
Physician Assistant
3200 W CENTRE AVE, SUITE 203
PORTAGE, MI 49024
Physician Assistant
3200 W CENTRE AVE, SUITE 203
PORTAGE, MI 49024
Nurse Practitioner (Family)
3200 W CENTRE AVE
PORTAGE, MI 49024
Psychiatry & Neurology (Neurology)
3200 W CENTRE AVE, STE 203
PORTAGE, MI 49024
Occupational Therapist (Hand)
3200 W CENTRE AVE, SUITE #202
PORTAGE, MI 49024
Durable Medical Equipment & Medical Supplies
3200 W CENTRE AVE, STE 201
PORTAGE, MI 49024

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 Surgery Center Of Kalamazoo LLC's NPI number?

The NPI number for Surgery Center Of Kalamazoo LLC is 1700966710. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Surgery Center Of Kalamazoo LLC located?

Surgery Center Of Kalamazoo LLC is located at 3200 W Centre Ave Suite 101, Portage, MI 49024. The listed phone number is (269) 323-9905.

What is Surgery Center Of Kalamazoo LLC's specialty?

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

Does Surgery Center Of Kalamazoo LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1031006) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Kalamazoo LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Surgery Center Of Kalamazoo LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Kalamazoo LLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.