OrganizationActive
Fairview Maple Grove Surgery Center, LLC
NPI 1730068032 · Anesthesiology Physician · Maple Grove, MN
Provider details
- NPI number
- 1730068032
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maureen Ring, System Director(612) 672-6740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
14500 99th Ave N Ste 500
Maple Grove, MN 55369-4742
Phone: (855) 324-7843
Street-level locationGet directions
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.