PINELLAS SURGERY CENTER LLC NPI 1003870825

NPI Information

  • NPI: 1003870825
  • Provider Name: PINELLAS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 10D0908611
  • Address: 4650 4TH ST N
    ST PETERSBURG, FL
    ZIP 33703
  • Phone: (727) 527-1919

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NPI Details

PINELLAS SURGERY CENTER, LLC is an ambulatory surgical clinic center in St Petersburg, FL. PINELLAS SURGERY CENTER, LLC NPI is 1003870825. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4650 4TH ST N
ST PETERSBURG, FL
ZIP 33703-802
Phone: (727) 527-1919
Fax: (727) 527-0714

The provider's authorized official is Collin Lemaistre .
The authorized official title is Administrator and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D0908611 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of deep implant from bone (HCPCS:20680)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 5/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical878FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1079205500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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