SPICEWOOD SURGERY CENTER LLC NPI 1083176309

NPI Details

SPICEWOOD SURGERY CENTER LLC is an ambulatory surgical clinic center in Austin, TX. SPICEWOOD SURGERY CENTER LLC NPI is 1083176309. The provider is registered as an organization entity type.
The provider Is Doing Business As Spicewood Surgery Center.

The provider's business location address is:

13617 CALDWELL DR STE 200
AUSTIN, TX
ZIP 78750-324
Phone: (512) 637-5563

The provider's authorized official is Peter Blach .
The authorized official title is Authorized Official and has the following contact phone number (713) 343-0832.

The CLIA number assigned to this NPI record is 45D1029198 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
• Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
• Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones (HCPCS:64628)
• Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
• Removal of spinal canal scar tissue, multiple sessions in 1 day (HCPCS:62264)
• Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)

The enumeration date for this NPI number is 4/4/2019 and was last updated on 11/20/2024.

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:

Other Identifiers

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