PHYSICIANS SURGERY CENTER LLC NPI 1023297553

NPI Information

  • NPI: 1023297553
  • Provider Name: PHYSICIANS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 14D1077131
  • Address: 2601 W MAIN ST
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 549-5361

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NPI Details

PHYSICIANS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Carbondale, IL. PHYSICIANS SURGERY CENTER, LLC NPI is 1023297553. The provider is registered as an organization entity type.

The provider's business location address is:

2601 W MAIN ST
CARBONDALE, IL
ZIP 62901-031
Phone: (618) 549-5361

The provider's authorized official is Sheffield Boardman .
The authorized official title is Medical Director and has the following contact phone number (618) 549-5361.

The CLIA number assigned to this NPI record is 14D1077131 - 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.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Biopsy of prostate gland (HCPCS:55700)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 11/1/2007 and was last updated on 6/21/2018.

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 SurgicalYes

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
1=========OTHERUMWA H AND FUNDS
250935OTHERILLINOISBLUE CROSS OF ILLINOIS
3878466OTHERHEALTH LINK
4=========OTHERILLINOISAETNA
5328614OTHERGROUP HEALTH PLANS
6014101OTHERHEALTH ALLIANCE
7=========OTHERGREATWEST

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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