WEST LAKES SURGERY CENTER LLC NPI 1104933696

NPI Details

WEST LAKES SURGERY CENTER LLC is an ambulatory surgical clinic center in Clive, IA. WEST LAKES SURGERY CENTER LLC NPI is 1104933696. The provider is registered as an organization entity type.

The provider's business location address is:

12499 UNIVERSITY AVE
SUITE 100
CLIVE, IA
ZIP 50325-281
Phone: (515) 974-5050

The provider's authorized official is Teri S Formanek .
The authorized official title is President and has the following contact phone number (515) 327-1555.

The CLIA number assigned to this NPI record is 16D1058574 - 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.

• Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• 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)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Correction of toe joint deformity (HCPCS:28285)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
• Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Repair of brow paralysis (HCPCS:67900)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• Release of wrist ligament using an endoscope (HCPCS:29848)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Destruction of surface soft tissue of nasal passages (HCPCS:30802)
• Creation of sling around urethra in female to control leakage (HCPCS:57288)
• Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
• Tying or biopsy of artery on side of skull (HCPCS:37609)
• Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
• Obtaining ear cartilage for grafting (HCPCS:21235)
• Removal of deep implant from bone (HCPCS:20680)
• Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
• Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/4/2020.

Taxonomy Codes

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