FLEMING ISLAND SURGERY CENTER NPI 1457428005

NPI Information

  • NPI: 1457428005
  • Provider Name: FLEMING ISLAND SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D1063710
  • Address: 1670 EAGLE HARBOR PKWY
    SUITE B
    ORANGE PARK, FL
    ZIP 32003
  • Phone: (904) 541-3048

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NPI Details

FLEMING ISLAND SURGERY CENTER is an ambulatory surgical clinic center in Orange Park, FL. FLEMING ISLAND SURGERY CENTER NPI is 1457428005. The provider is registered as an organization entity type.

The provider's business location address is:

1670 EAGLE HARBOR PKWY
SUITE B
ORANGE PARK, FL
ZIP 32003-806
Phone: (904) 541-3048
Fax: (904) 215-7960

The provider's authorized official is Tara Shea Mclaughlin .
The authorized official title is Director Of Contracting and has the following contact phone number (727) 785-9800.

The CLIA number assigned to this NPI record is 10D1063710 - 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.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Removal of excessive skin of upper eyelid (HCPCS:15822)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Correction of toe joint deformity (HCPCS:28285)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Dilation of esophagus (HCPCS:43450)
  • Removal of membrane of retina (HCPCS:67041)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.

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 SurgicalPENDINGFLORIDAYes

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
1PENDINGOTHERFLORIDASTATE LICENSE NUMBER

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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