SURGERY CENTER OF FREMONT LLC NPI 1437102241

NPI Information

  • NPI: 1437102241
  • Provider Name: SURGERY CENTER OF FREMONT, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 28D0966700
  • Address: 2727 N CLARKSON ST
    FREMONT, NE
    ZIP 68025
  • Phone: (402) 727-8500

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NPI Details

SURGERY CENTER OF FREMONT, LLC is an ambulatory surgical clinic center in Fremont, NE. SURGERY CENTER OF FREMONT, LLC NPI is 1437102241. The provider is registered as an organization entity type.

The provider's business location address is:

2727 N CLARKSON ST
FREMONT, NE
ZIP 68025-713
Phone: (402) 727-8500
Fax: (402) 721-1065

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) 234-5954.

The CLIA number assigned to this NPI record is 28D0966700 - 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, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • 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)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Needle biopsy of prostate gland using image guidance (HCPCS:55706)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • Destruction of prostate using imaging guidance (HCPCS:55873)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/28/2022.

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 SurgicalASC007NEBRASKAYes

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
11002537100MEDICAIDNEBRASKA
2P00302981OTHERRR 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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