MURDOCK AMBULATORY SURGERY CENTER LLC NPI 1124125604

NPI Information

  • NPI: 1124125604
  • Provider Name: MURDOCK AMBULATORY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D1052749
  • Address: 1400 EDUCATION WAY
    PORT CHARLOTTE, FL
    ZIP 33948
  • Phone: (941) 625-9800

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NPI Details

MURDOCK AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Port Charlotte, FL. MURDOCK AMBULATORY SURGERY CENTER LLC NPI is 1124125604. The provider is registered as an organization entity type.

The provider's business location address is:

1400 EDUCATION WAY
PORT CHARLOTTE, FL
ZIP 33948-000
Phone: (941) 625-9800
Fax: (941) 625-3492

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (469) 250-3640.

The CLIA number assigned to this NPI record is 10D1052749 - 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)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Dilation of esophagus (HCPCS:43450)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones (HCPCS:64628)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • Removal of deep implant from bone (HCPCS:20680)
  • Correction of toe joint deformity (HCPCS:28285)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Incision or the tendon covering on the top side of the wrist (HCPCS:25000)
  • Fusion of pelvic joint using imaging guidance (HCPCS:27279)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Removal of central venous tube with port or pump (HCPCS:36590)
  • Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device (HCPCS:25607)
  • Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy (HCPCS:C9777)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Fusion of finger joint, initial joint (HCPCS:26860)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Removal of spine bone for insertion of neurostimulator electrode plate in spine (HCPCS:63655)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Removal of growth under skin of back or lower sides, 3.0 cm or more (HCPCS:21931)
  • Repair of hernia at navel (5 years or older) (HCPCS:49585)
  • Removal of first cyst of wrist (HCPCS:25111)
  • Transfer of deep tendon of foot with muscle rerouting (HCPCS:27691)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)

The enumeration date for this NPI number is 9/19/2006 and was last updated on 10/14/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical1258FLORIDAYes

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
1076523600MEDICAIDFLORIDA

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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