EC LASER AND SURGERY INSTITUTE OF WI, LLC
NPI 1730909664
Clinic/Center - Ambulatory Surgical in Stevens Point, WI

NPI Status: Active since October 15, 2024

Contact Information

3301 STANLEY ST
STEVENS POINT, WI
ZIP 54481
Phone: (715) 298-5500

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 52D2318042
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-03-2027

About EC LASER AND SURGERY INSTITUTE OF WI, LLC

This page provides the complete NPI Profile along with additional information for Ec Laser And Surgery Institute Of Wi, Llc, a provider established in Stevens Point, Wisconsin operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1730909664 assigned on October 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kimberly Goddard Coo (Chief Operating Officer)

NPI
1730909664
Provider Name
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Entity Type
Organization
Location Address
3301 STANLEY ST STEVENS POINT, WI 54481
Location Phone
(715) 298-5500
Mailing Address
800 N 1ST ST WAUSAU, WI 54403
Mailing Phone
(715) 261-8500
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-15-2024
Last Update Date
10-15-2024
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Location Map

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:

  • Oak $1,300 Gold - PPO
  • Oak $2,000 Standard Gold - PPO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO
  • Premier HMO $3,500 HDHP - HMO
  • Premier HMO $4,000 - 20% HDHP - HMO
  • Premier HMO $5,000 - 20% HDHP - HMO
  • Premier HMO $5,500 - 40% Copay - HMO
  • Premier HMO $7,500 HDHP - HMO
  • Premier HMO $750 - 10% - HMO
  • Premier HMO $9,500 - HMO
  • Premier POS $1,500 - 30% - POS
  • Premier POS $2,500 - 20% Copay - POS

*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

KIMBERLY GODDARD COO

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(715) 261-8557

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
52D2318042
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 04, 2025
Certificate Expiration Date
February 03, 2027
Laboratory Director
DR. JOHN A. FLATTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ec Laser And Surgery Institute Of Wi, Llc 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.

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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 1730909664, 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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 3 → 6 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 1 + 8 + 0 + 1 + 8 + 6 + 1 + 2 + 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 1730909664.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
3301 STANLEY ST
STEVENS POINT, WI 54481
Family Medicine
3301 STANLEY ST
STEVENS POINT, WI 54481
Nurse Practitioner (Family)
3301 STANLEY ST
STEVENS POINT, WI 54481
Clinic/Center
3301 STANLEY ST
STEVENS POINT, WI 54481
Nurse Practitioner
3301 STANLEY ST
STEVENS POINT, WI 54481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730909664, enumerated as an "organization" on October 15, 2024.

The provider is located at 3301 STANLEY ST STEVENS POINT, WI 54481 and the phone number is (715) 298-5500.

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

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