GRANTS PASS SURGERY CENTER LLC NPI 1861492530

NPI Information

  • NPI: 1861492530
  • Provider Name: GRANTS PASS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 38D0943049
  • Address: 1601 NW HAWTHORNE AVE
    GRANTS PASS, OR
    ZIP 97526
  • Phone: (541) 472-4880

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NPI Details

GRANTS PASS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Grants Pass, OR. GRANTS PASS SURGERY CENTER, LLC NPI is 1861492530. The provider is registered as an organization entity type.

The provider's business location address is:

1601 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526-041
Phone: (541) 472-4880
Fax: (541) 472-4899

The provider's authorized official is Julie Ann Deger .
The authorized official title is Office Manager and has the following contact phone number (541) 472-4884.

The CLIA number assigned to this NPI record is 38D0943049 - 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.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Correction of toe joint deformity (HCPCS:28285)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 1/3/2008.

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 Surgical0504365OREGONYes

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
1165232MEDICAIDOREGON
2R102579MEDICARE PINOREGON

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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