Wayzata Surgery Center
Wayzata Surgery Center is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Wayzata, MN, holding Type 2 (organization) NPI 1043812787 since 2020. The authorized official on file is John Ness, President.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1043812787 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wayzata Surgery Center |
| Parent organization | Omni Medical Center Pllc |
| Practice address | 935 WAYZATA BLVD E STE 200, Wayzata, MN, 55391 |
| Phone | 7635594500 |
| Enumeration date | 2020-11-09 |
| Last updated in NPPES | 2020-11-09 |
Authorized official
| Name | John Ness |
|---|---|
| Title | President |
| Phone | 7635594500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207YS0123X | Facial Plastic Surgery Physician | Secondary | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Secondary | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Wayzata Surgery Center NPI: 1043812787 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 935 WAYZATA BLVD E STE 200, Wayzata, MN, 55391
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124046933 | John Ness | Individual | Plastic and Reconstructive Surgery Physician | Wayzata, MN |
| 1558688366 | Bryan Rolfes | Individual | Otolaryngology/Facial Plastic Surgery Physician | Wayzata, MN |
| 1760914378 | Miles Bichanich | Individual | Plastic Surgery Physician | Wayzata, MN |
| 1053808931 | Mitchell Hagen | Individual | Otolaryngology/Facial Plastic Surgery Physician | Wayzata, MN |
| 1659845659 | Omni Medical Center Pllc | Organization | Plastic Surgery Physician | Wayzata, MN |
| 1003453515 | Omni Facial Plastic Surgery | Organization | Plastic Surgery Physician | Wayzata, MN |
| 1851991079 | Omni Medical Center Pllc | Organization | Otolaryngology/Facial Plastic Surgery Physician | Wayzata, MN |
| 1720814429 | Pinnacle Dermatology, S.C. | Organization | Otolaryngology/Facial Plastic Surgery Physician | Wayzata, MN |
Verify this record
Cross-check NPI 1043812787 against the authoritative CMS record: view Wayzata Surgery Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Wayzata Surgery Center?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-09.