FAMILY SURGERY CENTER, LLC
NPI 1962583369
Anesthesiology in Willmar, MN

Q: What is Family Surgery Center, LLC's NPI number?

The NPI number for Family Surgery Center, LLC is 1962583369. It was assigned to this organization in the NPPES registry on October 18, 2006.

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

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since October 18, 2006

1801 19TH AVE SW, WILLMAR, MN 56201(320) 235-7700(320) 235-7701 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Family Surgery Center, Llc NPPES

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

FAMILY SURGERY CENTER, LLC (NPI 1962583369) is a healthcare organization registered as an anesthesiology in Willmar, Minnesota and active in the NPI registry since October 2006. The organization lists Carmen Macik, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962583369

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameFAMILY SURGERY CENTER, LLC

Location Address1801 19TH AVE SWWillmar, MN 56201-4946

Mailing Address1801 19th Ave SwWillmar, MN 56201-4946 · (320) 235-7700 · Fax (320) 235-7701

Phone(320) 235-7700

Fax(320) 235-7701

Organization SubpartNo

Authorized OfficialCarmen MacikAdministrator · (320) 214-5759

Enumeration DateOctober 18, 2006

Last NPPES UpdateJune 12, 2012

✔ NPI 1962583369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MN · 330845

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1801 19TH AVE SW, Willmar, MN 56201

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Other Identifiers 2

Medicare ID-Type UnspecifiedC04245MN

Other277A0FAMN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jonathan Mellema, MD

Otolaryngology

NPI 1083680458

1801 19TH AVE SW
Willmar, MN 56201

(320) 231-3277

✔ PECOS✔ Accepts MedicareSame address

James Malkuch, CRNA