TETON OUTPATIENT SERVICES LLC NPI 1689651481

NPI Details

TETON OUTPATIENT SERVICES LLC is an ambulatory surgical clinic center in Jackson, WY. TETON OUTPATIENT SERVICES LLC NPI is 1689651481. The provider is registered as an organization entity type.

The provider's business location address is:

150 BUFFALO WAY
JACKSON, WY
ZIP 83001-530
Phone: (307) 733-8677
Fax: (307) 734-7365

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 53D0977879 - 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 anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Incision of tendon covering of finger (HCPCS:26055)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Removal of both knee cartilages using an endoscope (HCPCS:29880)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Anchoring of biceps tendon (HCPCS:23430)

The enumeration date for this NPI number is 12/22/2005 and was last updated on 10/24/2024.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.