POLARIS SURGERY CENTER LLC NPI 1649456021

NPI Information

  • NPI: 1649456021
  • Provider Name: POLARIS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: POLARIS SURBERY CENTER
  • CLIA Number: 36D1085878
  • Address: 300 POLARIS PKWY
    SUITE 110
    WESTERVILLE, OH
    ZIP 43082
  • Phone: (614) 566-0568

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NPI Details

POLARIS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Westerville, OH. POLARIS SURGERY CENTER, LLC NPI is 1649456021. The provider is registered as an organization entity type.
The provider Is Doing Business As Polaris Surbery Center.

The provider's business location address is:

300 POLARIS PKWY
SUITE 110
WESTERVILLE, OH
ZIP 43082-971
Phone: (614) 566-0568
Fax: (614) 566-0608

The provider's authorized official is Steven J. Bultema .
The authorized official title is Administrator and has the following contact phone number (614) 566-0568.

The CLIA number assigned to this NPI record is 36D1085878 - 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 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)
  • Correction of toe joint deformity (HCPCS:28285)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Removal of deep implant from bone (HCPCS:20680)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Harvest of graft from large bone (HCPCS:20902)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Transfer of deep tendon of foot with muscle rerouting (HCPCS:27691)
  • Secondary repair of ruptured achilles tendon (HCPCS:27654)
  • Partial removal of foot or heel bone (HCPCS:28122)
  • Partial removal of toe bone (HCPCS:28124)
  • Incision of tendon covering of finger (HCPCS:26055)

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.

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

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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