DESTIN SURGERY CENTER LLC NPI 1871594275

NPI Information

  • NPI: 1871594275
  • Provider Name: DESTIN SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D0993943
  • Address: 1225 AIRPORT RD
    DESTIN, FL
    ZIP 32541
  • Phone: (850) 650-7606

Map and Directions

Get Directions

NPI Details

DESTIN SURGERY CENTER LLC is an ambulatory surgical clinic center in Destin, FL. DESTIN SURGERY CENTER LLC NPI is 1871594275. The provider is registered as an organization entity type.

The provider's business location address is:

1225 AIRPORT RD
DESTIN, FL
ZIP 32541-909
Phone: (850) 650-7606
Fax: (850) 337-1698

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorize Offical and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D0993943 - 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)
  • 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)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)

The enumeration date for this NPI number is 8/9/2005 and was last updated on 9/19/2024.

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 Surgical1136FLORIDAYes

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
1075230400MEDICAIDFLORIDA
2490005522OTHERFLORIDARAILROAD MEDICARE

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.