WARTBURG SURGERY CENTER LLC NPI 1104055425

NPI Information

  • NPI: 1104055425
  • Provider Name: WARTBURG SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1236 KNOXVILLE HWY
    WARTBURG, TN
    ZIP 37887
  • Phone: (423) 346-2015

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NPI Details

WARTBURG SURGERY CENTER LLC is an ambulatory surgical clinic center in Wartburg, TN. WARTBURG SURGERY CENTER LLC NPI is 1104055425. The provider is registered as an organization entity type.

The provider's business location address is:

1236 KNOXVILLE HWY
WARTBURG, TN
ZIP 37887-200
Phone: (423) 346-2015
Fax: (423) 346-7541

The provider's authorized official is Timothy S Ochs .
The authorized official title is Co-owner and has the following contact phone number (423) 346-2015.

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 esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43236)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using a flexible endoscope with electrical cautery (HCPCS:43250)
  • Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
  • Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43247)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Dilation of stomach outlet using a flexible endoscope (HCPCS:43245)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)

The enumeration date for this NPI number is 7/8/2009 and was last updated on 7/21/2022.

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 Surgical0000000133TENNESSEEYes

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
11517029MEDICAIDTENNESSEE

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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