Fond Du Lac Surgery Center, LLC
NPI 1104874247 · Ambulatory Surgical Clinic/Center · Fond Du Lac, WI
Fond Du Lac Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Fond Du Lac, WI (NPI 1104874247).
Provider details
- NPI number
- 1104874247
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Little, Svp & Cfo(920) 926-5402
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-08-29
Frequently asked questions
- What is Fond Du Lac Surgery Center, LLC's NPI number?
- Fond Du Lac Surgery Center, LLC's National Provider Identifier (NPI) is 1104874247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fond Du Lac Surgery Center, LLC?
- Fond Du Lac Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fond Du Lac Surgery Center, LLC located?
- Fond Du Lac Surgery Center, LLC's practice location on file with NPPES is 421 Camelot Drive, Fond Du Lac, WI 54935.
- What is Fond Du Lac Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fond Du Lac Surgery Center, LLC is (920) 926-5407.
- Who is the authorized official for Fond Du Lac Surgery Center, LLC?
- The authorized official listed on Fond Du Lac Surgery Center, LLC's NPPES record is Steven Little, Svp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fond Du Lac Surgery Center, LLC's NPI active?
- Yes — Fond Du Lac Surgery Center, LLC's NPI (1104874247) is active in the NPPES registry as of the last update on 2007-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.