PROFFER SURGICAL CENTER PLLC NPI 1164986683

NPI Information

  • NPI: 1164986683
  • Provider Name: PROFFER SURGICAL CENTER, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D1062151
  • Address: 1611 WALLACE BLVD
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 354-4900

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NPI Details

PROFFER SURGICAL CENTER, PLLC is an ambulatory surgical clinic center in Amarillo, TX. PROFFER SURGICAL CENTER, PLLC NPI is 1164986683. The provider is registered as an organization entity type.

The provider's business location address is:

1611 WALLACE BLVD
AMARILLO, TX
ZIP 79106-799
Phone: (806) 354-4900
Fax: (806) 352-4987

The provider's authorized official is Paul L Proffer .
The authorized official title is Owner and has the following contact phone number (806) 354-4900.

The CLIA number assigned to this NPI record is 45D1062151 - physician office with a certificate type of Certificate of Compliance.

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, meloxicam, 1 mg (HCPCS:J1738)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Obtaining ear cartilage for grafting (HCPCS:21235)
  • 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)

The enumeration date for this NPI number is 1/29/2019 and was last updated on 1/29/2019.

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 SurgicalYes

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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