WISCONSIN CHILDREN'S SURGERY CENTER, LLC – NPI #1669210126
Clinic/Center

WISCONSIN CHILDREN'S SURGERY CENTER, LLC is an AHC clinic located in GLENDALE, WI. NPPES has assigned the NPI number 1669210126 to WISCONSIN CHILDREN'S SURGERY CENTER, LLC on July 18, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Oct 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WISCONSIN CHILDREN'S SURGERY CENTER, LLC below.

NPI Profile for
WISCONSIN CHILDREN'S SURGERY CENTER, LLC

NPI Number
1669210126
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISCONSIN CHILDREN'S SURGERY CENTER, LLC
Primary location
7007 N RANGE LINE RD
GLENDALE, WI 53209-2620
Phone: (301) 494-3000 Fax:
Mailing address
1220 CARAWAY CT STE 1050
UPPER MARLBORO, MD 20774-5338
Phone: (301) 494-3000 Fax:
Organization Subpart
No
Authorized Official
JEFF WHEELER
FINANCE DIRECTOR
Phone: (301) 494-3000
Updated
Certification Date
Oct 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.