PIERCE STREET SAME DAY SURGERY LC NPI 1205030731

NPI Details

PIERCE STREET SAME DAY SURGERY, LC is an ambulatory surgical clinic center in Sioux City, IA. PIERCE STREET SAME DAY SURGERY, LC NPI is 1205030731. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pierce Street Same Day Surgery, Lc.

The provider's business location address is:

2730 PIERCE ST
SIOUX CITY, IA
ZIP 51104-796
Phone: (712) 294-7773
Fax: (712) 279-7958

The provider's authorized official is Craig Bryan .
The authorized official title is Chief Executive Officer and has the following contact phone number (712) 294-8911.

The CLIA number assigned to this NPI record is 16D1070291 - 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.

• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Dilation of esophagus (HCPCS:43450)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Correction of toe joint deformity (HCPCS:28285)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
• Removal of deep implant from bone (HCPCS:20680)
• Removal of nasal air passage under lining tissue (HCPCS:30140)
• Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
• Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
• Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 6/11/2007 and was last updated on 11/18/2019.

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:

Other Identifiers

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