THOMAS JOHNSON SURGERY CENTER LLC NPI 1679757959

NPI Details

THOMAS JOHNSON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Frederick, MD. THOMAS JOHNSON SURGERY CENTER, LLC NPI is 1679757959. The provider is registered as an organization entity type.

The provider's business location address is:

197 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702-314
Phone: (301) 631-3881
Fax: (301) 631-3883

The provider's authorized official is Ravi Yalamanchili .
The authorized official title is President and has the following contact phone number (301) 846-0100.

The CLIA number assigned to this NPI record is 21D1080993 - 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)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
• Repair of groin hernia (5 years or older) (HCPCS:49505)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
• Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
• Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
• Biopsy of bladder using an endoscope (HCPCS:52204)
• Removal of gallbladder using an endoscope (HCPCS:47562)
• Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
• Removal of central venous tube with port or pump (HCPCS:36590)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
• Biopsy of prostate gland (HCPCS:55700)
• Ultrasound scan of pelvic region through rectum (HCPCS:76872)
• Removal of growth of sperm cord (HCPCS:55520)
• Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS:22513)
• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Destruction and/or removal of large growth of bladder using an endoscope (HCPCS:52240)

The enumeration date for this NPI number is 12/23/2007 and was last updated on 3/3/2009.

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: