SURGERY CENTER AT RIVER ROAD LLC NPI 1801825880

NPI Details

SURGERY CENTER AT RIVER ROAD, LLC is an ambulatory surgical clinic center in Tucson, AZ. SURGERY CENTER AT RIVER ROAD, LLC NPI is 1801825880. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Aesthetic Surgery At Hacienda Del Sol.

The provider's business location address is:

2490 E. RIVER ROAD
SUITE 150
TUCSON, AZ
ZIP 85718-522
Phone: (520) 382-1084
Fax: (520) 615-4572

The provider's authorized official is Gwendolyn S Maxwell .
The authorized official title is Shareholder and has the following contact phone number (520) 382-1084.

The CLIA number assigned to this NPI record is 03D1054917 - 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.

• Release and/or relocation of hand nerve (HCPCS:64721)
• Correction of toe joint deformity (HCPCS:28285)
• Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/22/2014.

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: