PREMIER AT EXTON SURGERY CENTER LLC NPI 1376906354

NPI Information

  • NPI: 1376906354
  • Provider Name: PREMIER AT EXTON SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 39D2115703
  • Address: 491 JOHN YOUNG WAY
    SUITE 100
    EXTON, PA
    ZIP 19341
  • Phone: (484) 872-8408

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NPI Details

PREMIER AT EXTON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Exton, PA. PREMIER AT EXTON SURGERY CENTER, LLC NPI is 1376906354. The provider is registered as an organization entity type.

The provider's business location address is:

491 JOHN YOUNG WAY
SUITE 100
EXTON, PA
ZIP 19341-567
Phone: (484) 872-8408

The provider's authorized official is Jonathan Bailey .
The authorized official title is Officer/authorized Official and has the following contact phone number (203) 609-1168.

The CLIA number assigned to this NPI record is 39D2115703 - 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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Correction of toe joint deformity (HCPCS:28285)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Removal of deep implant from bone (HCPCS:20680)

The enumeration date for this NPI number is 3/29/2016 and was last updated on 10/24/2024.

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 SurgicalYes

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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