MEDFORD SURGERY CENTER LLC NPI 1073149365

NPI Details

MEDFORD SURGERY CENTER LLC is an ambulatory surgical clinic center in Medford, MA. MEDFORD SURGERY CENTER LLC NPI is 1073149365. The provider is registered as an organization entity type.

The provider's business location address is:

170 GOVERNORS AVE STE 100
MEDFORD, MA
ZIP 02155-643
Phone: (800) 258-4674

The provider's authorized official is Kristen Delmore .
The authorized official title is Cfo and has the following contact phone number (617) 376-7400.

The CLIA number assigned to this NPI record is 22D2193504 - 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 polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Incision of tendon covering of finger (HCPCS:26055)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Release of wrist ligament using an endoscope (HCPCS:29848)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

The enumeration date for this NPI number is 3/18/2020 and was last updated on 6/9/2025.

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: