SKYLINE SURGERY CENTER LLC NPI 1851552483

NPI Details

SKYLINE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Pocatello, ID. SKYLINE SURGERY CENTER, LLC NPI is 1851552483. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Skyline Surgery Center Inc.

The provider's business location address is:

285 VISTA DR
STE C
POCATELLO, ID
ZIP 83201
Phone: (208) 478-1704
Fax: (208) 233-6970

The provider's authorized official is Kathryn Buckalew .
The authorized official title is Administrator and has the following contact phone number (208) 785-3877.

The CLIA number assigned to this NPI record is 13D2053554 - 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)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Incision of tendon covering of finger (HCPCS:26055)
• Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Repair of tendon of upper eyelid (HCPCS:67904)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Release and/or relocation of wrist nerve (HCPCS:64719)
• Release and/or relocation of elbow nerve (HCPCS:64718)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 6/17/2008 and was last updated on 5/31/2018.

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: