FORT WASHINGTON SURGERY CENTER LLC NPI 1790786218

NPI Information

  • NPI: 1790786218
  • Provider Name: FORT WASHINGTON SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE SURGERY CENTER AT FORT WASHINGTON
  • Address: 467 PENNSYLVANIA AVE STE 108
    FORT WASHINGTON, PA
    ZIP 19034
  • Phone: (215) 628-4300

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NPI Details

FORT WASHINGTON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fort Washington, PA. FORT WASHINGTON SURGERY CENTER, LLC NPI is 1790786218. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center At Fort Washington.

The provider's business location address is:

467 PENNSYLVANIA AVE STE 108
FORT WASHINGTON, PA
ZIP 19034-420
Phone: (215) 628-4300

The provider's authorized official is Amanda Lynn Ricca .
The authorized official title is Administrator and has the following contact phone number (215) 628-4300.

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)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Injection of anesthetic agent into sympathetic nerve bundle (HCPCS:64510)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/22/2017.

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 Surgical55551500PENNSYLVANIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790786218MEDICARE NSCPENNSYLVANIA

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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