LAKEWOOD ASC LLC NPI 1821565706

NPI Details

LAKEWOOD ASC, LLC is an ambulatory surgical clinic center in Wildwood, FL. LAKEWOOD ASC, LLC NPI is 1821565706. The provider is registered as an organization entity type.

The provider's business location address is:

5571 E SR 44 STE 501
WILDWOOD, FL
ZIP 34785-282
Phone: (352) 643-9080
Fax: (352) 571-6786

The provider's authorized official is Jose A Rivera .
The authorized official title is Administrator and has the following contact phone number (352) 643-9080.

The CLIA number assigned to this NPI record is 10D2169391 - ambulatory surgery center with a certificate type of Certificate of Compliance.

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.

• Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
• Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch (HCPCS:C9600)
• Insertion of heart rhythm monitor under skin (HCPCS:33285)
• Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
• Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
• Insertion of implantable defibrillator system (HCPCS:33249)
• Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
• Removal of heart rhythm monitor from under the skin (HCPCS:33286)
• Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
• Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
• Removal and replacement of multiple lead defibrillator (HCPCS:33264)
• Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
• Removal of plaque in arteries of leg (HCPCS:37225)
• Balloon dilation of single coronary artery or branch (HCPCS:92920)
• Removal and replacement of dual lead defibrillator (HCPCS:33263)

The enumeration date for this NPI number is 10/29/2018 and was last updated on 10/21/2020.

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: