FISH POND SURGERY CENTER LLC NPI 1477569069

NPI Information

  • NPI: 1477569069
  • Provider Name: FISH POND SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D0975742
  • Address: 601 W HWY 6 STE 109
    WACO, TX
    ZIP 76710
  • Phone: (254) 751-9836

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NPI Details

FISH POND SURGERY CENTER, LLC is an ambulatory surgical clinic center in Waco, TX. FISH POND SURGERY CENTER, LLC NPI is 1477569069. The provider is registered as an organization entity type.

The provider's business location address is:

601 W HWY 6 STE 109
WACO, TX
ZIP 76710
Phone: (254) 751-9836
Fax: (254) 751-9868

The provider's authorized official is Jill Finke .
The authorized official title is Officer/authorized Official and has the following contact phone number (210) 478-5430.

The CLIA number assigned to this NPI record is 45D0975742 - 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)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of prostate gland (HCPCS:55700)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Transplantation of fetal sac tissue to cornea (HCPCS:65780)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/7/2025.

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

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
1087985001MEDICAIDTEXAS

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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