PINE RIDGE SURGERY CENTER LLC NPI 1669787958

NPI Details

PINE RIDGE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Wausau, WI. PINE RIDGE SURGERY CENTER, LLC NPI is 1669787958. The provider is registered as an organization entity type.

The provider's business location address is:

2500 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401-000
Phone: (970) 556-8744

The provider's authorized official is Christopher Reising .
The authorized official title is President and has the following contact phone number (715) 847-2022.

The CLIA number assigned to this NPI record is 52D2013392 - 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, bupivacaine liposome, 1 mg (HCPCS:C9290)
• Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg (HCPCS:Q9968)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Repair of groin hernia (5 years or older) (HCPCS:49505)
• Partial removal of breast (HCPCS:19301)
• Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Repair of groin hernia using an endoscope (HCPCS:49650)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Removal or exploration of parathyroid glands (HCPCS:60500)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
• Repair of hernia at navel (5 years or older) (HCPCS:49585)
• Crushing of stone of ureter using an endoscope (HCPCS:52353)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)

The enumeration date for this NPI number is 8/11/2010 and was last updated on 8/11/2010.

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: