ST MICHAELS SURGERY CENTER INC. NPI 1336100189

NPI Information

  • NPI: 1336100189
  • Provider Name: ST MICHAELS SURGERY CENTER INC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D0985940
  • Address: 1018 W BAY DR
    LARGO, FL
    ZIP 33770
  • Phone: (727) 585-2200

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NPI Details

ST MICHAELS SURGERY CENTER INC. is an ambulatory surgical clinic center in Largo, FL. ST MICHAELS SURGERY CENTER INC. NPI is 1336100189. The provider is registered as an organization entity type.

The provider's business location address is:

1018 W BAY DR
LARGO, FL
ZIP 33770-225
Phone: (727) 585-2200
Fax: (727) 584-9239

The provider's authorized official is John L Michaelos .
The authorized official title is Owner and has the following contact phone number (727) 585-2200.

The CLIA number assigned to this NPI record is 10D0985940 - 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 recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • 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)
  • Creation of permanent eyelid margin scarring with relocation of eyelid tissue (HCPCS:67882)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Complex removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye (HCPCS:66987)

The enumeration date for this NPI number is 3/31/2006 and was last updated on 11/13/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical1118FLORIDAYes

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
150101269OTHERFLORIDAAETNA PROVIDER ID
2070826700MEDICAIDFLORIDA
369KOTHERFLORIDABCBS PROVIDER ID

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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