WAUWATOSA SURGERY CENTER LLC NPI 1275598302

NPI Details

WAUWATOSA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Wauwatosa, WI. WAUWATOSA SURGERY CENTER, LLC NPI is 1275598302. The provider is registered as an organization entity type.

The provider's business location address is:

10900 W POTTER RD
WAUWATOSA, WI
ZIP 53226-424
Phone: (414) 774-9227

The provider's authorized official is Tony Willbur .
The authorized official title is Chief Administrative Officer and has the following contact phone number (414) 208-4456.

The CLIA number assigned to this NPI record is 52D0391939 - 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.

• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Incision of tendon covering of finger (HCPCS:26055)
• Release of wrist ligament using an endoscope (HCPCS:29848)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/2/2020.

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: