ALLIANCE SURGERY CENTER LLC NPI 1699328146

NPI Information

  • NPI: 1699328146
  • Provider Name: ALLIANCE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3663 NORTH COUNTRY DRIVE
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 499-4419

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NPI Details

ALLIANCE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Traverse City, MI. ALLIANCE SURGERY CENTER, LLC NPI is 1699328146. The provider is registered as an organization entity type.

The provider's business location address is:

3663 NORTH COUNTRY DRIVE
TRAVERSE CITY, MI
ZIP 49684-587
Phone: (231) 499-4419

The provider's authorized official is Tricia Inglis Wollam .
The authorized official title is Clinical Administrator and has the following contact phone number (231) 252-1228.

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.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of deep implant from bone (HCPCS:20680)

The enumeration date for this NPI number is 7/23/2019 and was last updated on 12/9/2021.

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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