PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC NPI 1134126097

NPI Information

NPI: 1134126097
Provider Name: PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 44D0705221
Address: 1819 CLINCH AVE
STE 206
KNOXVILLE, TN
ZIP 37916
Phone: (865) 522-2949

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NPI Details

PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC is an ambulatory surgical clinic center in Knoxville, TN. PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC NPI is 1134126097. The provider is registered as an organization entity type.

The provider's business location address is:

1819 CLINCH AVE
STE 206
KNOXVILLE, TN
ZIP 37916-435
Phone: (865) 522-2949
Fax: (865) 637-3259

The provider's authorized official is Kristen O'connor .
The authorized official title is Officer, Authorized Official and has the following contact phone number (615) 376-7315.

The CLIA number assigned to this NPI record is 44D0705221 - 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.

Release and/or relocation of hand nerve (HCPCS:64721)
Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
Removal of knee cartilage using an endoscope (HCPCS:29881)
Incision of tendon covering of finger (HCPCS:26055)
Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Removal of both knee cartilages using an endoscope (HCPCS:29880)
Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)

The enumeration date for this NPI number is 7/6/2005 and was last updated on 10/15/2024.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0000000028	TENNESSEE	Yes

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
1	3288258	MEDICAID	TENNESSEE

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: 3/30/2025

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