CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC NPI 1730175159

NPI Details

CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC is an ambulatory surgical clinic center in Port Charlotte, FL. CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC NPI is 1730175159. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

23970 SUNCOAST BLVD
PORT CHARLOTTE, FL
ZIP 33980-739
Phone: (941) 625-3636
Fax: (941) 764-7542

The provider's authorized official is Collin Lemaistre .
The authorized official title is Authorized Official and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D0997071 - 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.

• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
• Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy (HCPCS:C9777)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/15/2025.

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

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