INTRACOASTAL SURGERY CENTER LLC NPI 1326527680

NPI Details

INTRACOASTAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Melbourne, FL. INTRACOASTAL SURGERY CENTER, LLC NPI is 1326527680. The provider is registered as an organization entity type.

The provider's business location address is:

2200 W EAU GALLIE BLVD STE 100
MELBOURNE, FL
ZIP 32935-166
Phone: (321) 795-6095

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D2153558 - 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.

• Release and/or relocation of hand nerve (HCPCS:64721)
• Incision of tendon covering of finger (HCPCS:26055)
• Biopsy of prostate gland (HCPCS:55700)
• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Release and/or relocation of elbow nerve (HCPCS:64718)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Removal of deep implant from bone (HCPCS:20680)
• Removal of growth of tendon finger or hand (HCPCS:26160)
• Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Repair of groin hernia using an endoscope (HCPCS:49650)
• Aspiration and/or injection of fluid from small joint (HCPCS:20600)
• Arthroplasty or replacement of wrist bone, one wrist bone (trapezium bone) (HCPCS:25445)
• Removal of gallbladder using an endoscope (HCPCS:47562)
• Replacement of knee joint on side of knee (HCPCS:27446)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• Destruction and/or removal of large growth of bladder using an endoscope (HCPCS:52240)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Removal of both knee cartilages using an endoscope (HCPCS:29880)
• Repair of hernia using an endoscope (HCPCS:49652)
• Anchoring of biceps tendon (HCPCS:23430)

The enumeration date for this NPI number is 8/8/2018 and was last updated on 9/10/2024.

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: