ST MARKS SURGICAL CENTER LLC NPI 1225199482

NPI Information

  • NPI: 1225199482
  • Provider Name: ST MARKS SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D1067566
  • Address: 6820 INTERNATIONAL CENTER BLVD
    FORT MYERS, FL
    ZIP 33912
  • Phone: (239) 210-0301

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NPI Details

ST MARKS SURGICAL CENTER LLC is an ambulatory surgical clinic center in Fort Myers, FL. ST MARKS SURGICAL CENTER LLC NPI is 1225199482. The provider is registered as an organization entity type.

The provider's business location address is:

6820 INTERNATIONAL CENTER BLVD
FORT MYERS, FL
ZIP 33912
Phone: (239) 210-0301

The provider's authorized official is Rick Palmon .
The authorized official title is Medical Director and has the following contact phone number (239) 768-0006.

The CLIA number assigned to this NPI record is 10D1067566 - 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.

  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of brow paralysis (HCPCS:67900)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Snip incision of tear duct at inner corner of eye (HCPCS:68440)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of up to 1/4 of eyelid margin and repair of eyelid (HCPCS:67961)
  • Creation of drainage tract from tear sac to nasal cavity (HCPCS:68720)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Creation of permanent eyelid margin scarring (HCPCS:67880)
  • Removal of growth of cornea (HCPCS:65400)
  • Suture repair of turning-inward eyelid defect (HCPCS:67921)
  • Partial removal of nasal sinus (HCPCS:31200)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Removal of membrane of retina (HCPCS:67041)

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/3/2008.

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 Surgical1279FLORIDAYes

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
1F1498MEDICARE PINFLORIDA

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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