WILDCREEK SURGERY CENTER NPI 1003875873

NPI Information

  • NPI: 1003875873
  • Provider Name: WILDCREEK SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 29D0936425
  • Address: 2285 GREEN VISTA DR
    SPARKS, NV
    ZIP 89431
  • Phone: (775) 674-1110

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NPI Details

WILDCREEK SURGERY CENTER is an ambulatory surgical clinic center in Sparks, NV. WILDCREEK SURGERY CENTER NPI is 1003875873. The provider is registered as an organization entity type.

The provider's business location address is:

2285 GREEN VISTA DR
SPARKS, NV
ZIP 89431-532
Phone: (775) 674-1110
Fax: (775) 674-1114

The provider's authorized official is Douglas K. Devries .
The authorized official title is Owner and has the following contact phone number (775) 674-1110.

The CLIA number assigned to this NPI record is 29D0936425 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/22/2020.

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 Surgical1830ASC-8NEVADAYes

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: 3/30/2025

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