NOVAMED EYE SURGERY CENTER OF NORTH COUNTY LLC NPI 1285630160

NPI Information

  • NPI: 1285630160
  • Provider Name: NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: WOODCREST SURGERY CENTER
  • CLIA Number: 26D0922497
  • Address: 12101 WOODCREST EXECUTIVE DR
    SUITE 101
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (866) 631-7890

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NPI Details

NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC is an ambulatory surgical clinic center in Saint Louis, MO. NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC NPI is 1285630160. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodcrest Surgery Center.

The provider's business location address is:

12101 WOODCREST EXECUTIVE DR
SUITE 101
SAINT LOUIS, MO
ZIP 63141-047
Phone: (866) 631-7890
Fax: (314) 838-6532

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 26D0922497 - 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 cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye (HCPCS:66988)

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/6/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical76-9MISSOURIYes

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
1505450205MEDICAIDMISSOURI
2490003037OTHERRR MEDICARE

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: 3/30/2025

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