SPACE COAST SURGICAL CENTER LTD NPI 1437112455

NPI Details

SPACE COAST SURGICAL CENTER LTD is an ambulatory surgical clinic center in Merritt Island, FL. SPACE COAST SURGICAL CENTER LTD NPI is 1437112455. The provider is registered as an organization entity type.
The provider Is Doing Business As Merritt Island Surgery Center.

The provider's business location address is:

220 N SYKES CREEK PKWY
SUITE 101
MERRITT ISLAND, FL
ZIP 32953-490
Phone: (321) 459-0015
Fax: (321) 459-2291

The provider's authorized official is Cynthia A Johnson .
The authorized official title is Administrator and has the following contact phone number (321) 459-0015.

The CLIA number assigned to this NPI record is 10D0907648 - 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 substance into lower spine canal using imaging guidance (HCPCS:62323)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Incision of tendon covering of finger (HCPCS:26055)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Removal of both knee cartilages using an endoscope (HCPCS:29880)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Correction of toe joint deformity (HCPCS:28285)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Removal of deep implant from bone (HCPCS:20680)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 3/28/2016.

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:

Other Identifiers

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