SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA LLC NPI 1245233410

NPI Information

  • NPI: 1245233410
  • Provider Name: SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 39D0991732
  • Address: 190 WELLES ST
    FORTY FORT, PA
    ZIP 18704
  • Phone: (570) 331-7615

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NPI Details

SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC is an ambulatory surgical clinic center in Forty Fort, PA. SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC NPI is 1245233410. The provider is registered as an organization entity type.

The provider's business location address is:

190 WELLES ST
FORTY FORT, PA
ZIP 18704-968
Phone: (570) 331-7615
Fax: (570) 331-7614

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 39D0991732 - physician office 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 cataract with insertion of prosthetic lens (HCPCS:66984)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye (HCPCS:66988)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)
  • Correction of toe joint deformity (HCPCS:28285)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 12/14/2022.

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 Surgical148601PENNSYLVANIAYes

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
1814135OTHERPENNSYLVANIAFIRST PRIORITY HEALTH PRO
2127866OTHERPENNSYLVANIAMED PLUS/3 RIVERS PROVIDE
32139542OTHERPENNSYLVANIAUNITED HEALTHCARE
4991073OTHERPENNSYLVANIABLUE CROSS PROVIDER #
5077861OTHERPENNSYLVANIAAMERIHEALTH PROVIDER #
60198OTHERPENNSYLVANIAFREEDOM BLUE
749005260OTHERPENNSYLVANIAMEDICARE RAILROAD
8A2738987OTHERPENNSYLVANIAOXFORD PROVIDER #
968929OTHERPENNSYLVANIAGEISINGER PROVIDER #
10IY0345OTHERPENNSYLVANIAHEALTH NET PROVIDER #
110018825790001MEDICAIDPENNSYLVANIA
122670019OTHERPENNSYLVANIAAETNA PROVIDER NUMBER

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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