GRACE SURGERY CENTER LLC NPI 1396214938

NPI Information

  • NPI: 1396214938
  • Provider Name: GRACE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D2168679
  • Address: 2301 SE 3RD AVE BLDG 200
    OCALA, FL
    ZIP 34471
  • Phone: (352) 351-0029

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NPI Details

GRACE SURGERY CENTER LLC is an ambulatory surgical clinic center in Ocala, FL. GRACE SURGERY CENTER LLC NPI is 1396214938. The provider is registered as an organization entity type.

The provider's business location address is:

2301 SE 3RD AVE BLDG 200
OCALA, FL
ZIP 34471-105
Phone: (352) 351-0029
Fax: (352) 804-9977

The provider's authorized official is Paul D Jo .
The authorized official title is President and has the following contact phone number (352) 351-0029.

The CLIA number assigned to this NPI record is 10D2168679 - 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, meloxicam, 1 mg (HCPCS:J1738)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Biopsy of prostate gland (HCPCS:55700)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Crushing of stone of ureter using an endoscope (HCPCS:52353)

The enumeration date for this NPI number is 11/13/2018 and was last updated on 6/11/2019.

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: 3/30/2025

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