PRESCOTT OUTPATIENT SURGICAL CENTER LLC
NPI 1083624670
Clinic/Center - Ambulatory Surgical in Prescott, AZ

Q: What is Prescott Outpatient Surgical Center LLC's specialty?

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

Active since August 08, 2006CLIA 03D0982928 · Waiver

815 AINSWORTH DR, PRESCOTT, AZ 86301(928) 778-9770(928) 778-9028 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Apr 4, 2023, Oct 24, 2019 (3 updates tracked since 2019).

On this page

About Prescott Outpatient Surgical Center Llc NPPES

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

PRESCOTT OUTPATIENT SURGICAL CENTER LLC (NPI 1083624670) is a healthcare organization registered as an ambulatory surgical in Prescott, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1083624670

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePRESCOTT OUTPATIENT SURGICAL CENTER LLC

Location Address815 AINSWORTH DRPrescott, AZ 86301-1631

Mailing Address815 Ainsworth DrPrescott, AZ 86301-1631 · (928) 778-9770 · Fax (928) 778-9028

Phone(928) 778-9770

Fax(928) 778-9028

Organization SubpartNo

Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269

Enumeration DateAugust 8, 2006

Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1083624670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in AZ · OSC0035

815 AINSWORTH DR, Prescott, AZ 86301

Open in Google Maps ↗

Other Identifiers 1

Medicaid061482AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

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 03D0982928

Prescott Outpatient Surgical Center · Prescott, AZ

Active · expires Feb 7, 2027

CLIA Number03D0982928

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 8, 2025

Certificate Expiration DateFebruary 7, 2027

Laboratory DirectorJudah D. Pifer

Laboratory Phone(928) 778-9770

Laboratory LocationPrescott Outpatient Surgical Center815 Ainsworth Ave, Prescott, AZ 86301

CLIA data matches this NPI record on: Name Phone

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

Areas of Expertise CMS Part B claims 30

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.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

17,822 services65 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.

221 services163 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.

211 services72 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.

206 services95 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

124 services43 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

122 services76 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

103 services102 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.

100 services61 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

98 services84 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

90 services87 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

90 services90 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

67 services65 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

62 services46 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

54 services42 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

42 services26 patients

Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975

This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.

42 services41 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

41 services41 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

39 services39 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

36 services19 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

35 services35 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

34 services34 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

29 services17 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

27 services27 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

20 services20 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

20 services12 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

19 services19 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

19 services19 patients

Manipulation of knee joint under anesthesia 27570

Manipulation of the knee joint under anesthesia is a procedure done to improve knee mobility. You are put to sleep and the doctor moves your knee in different directions to break up scar tissue. This helps to increase range of motion and reduce stiffness.

13 services13 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

13 services13 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

12 services12 patients

Leave this field empty

Other Providers at the Same Location NPPES 4

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

JOHN PARNELL PASSAMANI M.D.

Anesthesiology

815 AINSWORTH DR
PRESCOTT, AZ 86301

Yavapai County (928) 778-9770

JONATHON GRUNEICH LLC

Anesthesiology

815 AINSWORTH DR
PRESCOTT, AZ 86301

Yavapai County (928) 778-9770

RANDY M HUGHES CRNA

Nurse Anesthetist, Certified Registered

815 AINSWORTH DR
PRESCOTT, AZ 86301

Yavapai County (928) 778-9770

JOHN P PASSAMANI MD PA

Anesthesiology

815 AINSWORTH DR
PRESCOTT, AZ 86301

Yavapai County (480) 985-1093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prescott Outpatient Surgical Center LLC's NPI number?

The NPI number for Prescott Outpatient Surgical Center LLC is 1083624670. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Prescott Outpatient Surgical Center LLC located?

Prescott Outpatient Surgical Center LLC is located at 815 Ainsworth Dr, Prescott, AZ 86301. The listed phone number is (928) 778-9770.

What is Prescott Outpatient Surgical Center LLC's specialty?

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

Does Prescott Outpatient Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0982928) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prescott Outpatient Surgical Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Prescott Outpatient Surgical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prescott Outpatient Surgical Center LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

About Prescott Outpatient Surgical Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 03D0982928

Areas of Expertise CMS Part B claims 30

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Prescott Outpatient Surgical Center LLC's NPI number?

Where is Prescott Outpatient Surgical Center LLC located?

What is Prescott Outpatient Surgical Center LLC's specialty?

Does Prescott Outpatient Surgical Center LLC hold a CLIA laboratory certificate?

What insurance does Prescott Outpatient Surgical Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 03D0982928