PORT ST LUCIE SURGERY CENTER LTD NPI 1871557652

NPI Information

  • NPI: 1871557652
  • Provider Name: PORT ST LUCIE SURGERY CENTER LTD
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1310 SE WEST STAR AVE
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (772) 337-5200

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NPI Details

PORT ST LUCIE SURGERY CENTER LTD is an ambulatory surgical clinic center in Port St Lucie, FL. PORT ST LUCIE SURGERY CENTER LTD NPI is 1871557652. The provider is registered as an organization entity type.

The provider's business location address is:

1310 SE WEST STAR AVE
PORT ST LUCIE, FL
ZIP 34952-557
Phone: (772) 337-5200
Fax: (772) 337-7955

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

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.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • 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)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Correction of toe joint deformity (HCPCS:28285)
  • Dilation of esophagus (HCPCS:43450)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 2/13/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical1040FLORIDAYes

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
1079224100MEDICAIDFLORIDA

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: 3/30/2025

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