BJOSC LLC NPI 1477900710

NPI Details

BJOSC, LLC is an ambulatory surgical clinic center in Plover, WI. BJOSC, LLC NPI is 1477900710. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1767 PARK AVE STE 300
PLOVER, WI
ZIP 54467-301
Phone: (715) 359-6442
Fax: (715) 393-0390

The provider's authorized official is Benjamin J Hackett .
The authorized official title is President and has the following contact phone number (715) 393-0334.

The CLIA number assigned to this NPI record is 52D2114304 - 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 lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• 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)

The enumeration date for this NPI number is 5/17/2016 and was last updated on 2/6/2025.

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: