Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medpark Specialized Surgery, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1184375545

Medpark Specialized Surgery, LLC is an Ambulatory Surgical Clinic/Center in Fargo, North Dakota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4450 31st Ave S Ste 201
Fargo, ND 58104-4556
Phone: (701) 293-9829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1184375545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Heitkamp — Director · (701) 951-2022
NPI enumeratedJanuary 17, 2022
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address4450 31st Ave S Ste 201, Fargo, ND 58104-4598

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