PHYSICIANS SURGERY CENTER, LLC
NPI 1023297553
Clinic/Center - Ambulatory Surgical in Carbondale, IL

Q: What is Physicians Surgery Center, LLC's NPI number?

The NPI number for Physicians Surgery Center, LLC is 1023297553. It was assigned to this organization in the NPPES registry on November 1, 2007.

Q: What is Physicians Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 01, 2007CLIA 14D1077131 · Waiver

2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Physicians Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS SURGERY CENTER, LLC (NPI 1023297553) is a healthcare organization registered as an ambulatory surgical in Carbondale, Illinois and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Sheffield Boardman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023297553

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePHYSICIANS SURGERY CENTER, LLC

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing Address2601 W Main StCarbondale, IL 62901-1031 · (618) 549-5361

Phone(618) 549-5361

Organization SubpartNo

Authorized OfficialSheffield BoardmanMedical Director · (618) 549-5361

Enumeration DateNovember 1, 2007

Last NPPES UpdateJune 21, 2018

✔ NPI 1023297553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2601 W MAIN ST, Carbondale, IL 62901

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Other Identifiers 4

Other50935IL · Blue Cross Of Illinois

Other878466Health Link

Other328614Group Health Plans

Other014101Health Alliance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1077131

Physicians Surgery Center L L C · Carbondale, IL

Active · expires Dec 2, 2027

CLIA Number14D1077131

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 3, 2025

Certificate Expiration DateDecember 2, 2027

Laboratory DirectorMark J. Garwin

Laboratory Phone(618) 351-7300

Laboratory LocationPhysicians Surgery Center L L C2601 W Main, Carbondale, IL 62901

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

292 services65 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

253 services145 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

121 services45 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

81 services68 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

60 services31 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

46 services29 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)