SPRING PARK SURGERY CENTER L L C NPI 1073516795

NPI Information

  • NPI: 1073516795
  • Provider Name: SPRING PARK SURGERY CENTER L L C
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 16D1097399
  • Address: 3319 SPRING ST
    STE 202A
    DAVENPORT, IA
    ZIP 52807
  • Phone: (563) 355-6236

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NPI Details

SPRING PARK SURGERY CENTER L L C is an ambulatory surgical clinic center in Davenport, IA. SPRING PARK SURGERY CENTER L L C NPI is 1073516795. The provider is registered as an organization entity type.

The provider's business location address is:

3319 SPRING ST
STE 202A
DAVENPORT, IA
ZIP 52807-125
Phone: (563) 355-6236
Fax: (563) 359-4634

The provider's authorized official is Katrina Mae Masakowski .
The authorized official title is Business Office Manager and has the following contact phone number (563) 359-1716.

The CLIA number assigned to this NPI record is 16D1097399 - 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)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Biopsy of prostate gland (HCPCS:55700)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Removal or manipulation of stone in ureter or kidney using an endoscope (HCPCS:52352)
  • Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Shortening or advancement of upper eyelid muscle to correct drooping or paralysis (HCPCS:67903)
  • Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm (HCPCS:52317)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Crushing of stone of ureter using an endoscope (HCPCS:52353)

The enumeration date for this NPI number is 5/27/2005 and was last updated on 11/30/2011.

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 SurgicalIOWAYes

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
10610154MEDICAIDIOWA
2490004256MEDICARE PINIOWA
361015OTHERIOWAWELLMARK BCBS
4490004256OTHERIOWAMEDICARE RAILROAD
561015MEDICARE PINIOWA
64895550001MEDICARE NSCIOWA

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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