ADVANCED SURGICAL AND RESTORATIVE CARE LLC
NPI 1194466235
Clinic/Center - Ambulatory Surgical in Altoona, WI

Q: What is Advanced Surgical And Restorative Care LLC's specialty?

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

Active since April 05, 2022CLIA Certified · 2 labs

1470 RIVERS EDGE TRL STE B, ALTOONA, WI 54720(715) 379-8718 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Aug 15, 2024, Mar 21, 2023 and 1 more (4 updates tracked since 2022).

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About Advanced Surgical And Restorative Care Llc NPPES

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

ADVANCED SURGICAL AND RESTORATIVE CARE LLC (NPI 1194466235), doing business as Defatta Ent & Plastics Surgery, Sc, is a healthcare organization registered as an ambulatory surgical in Altoona, Wisconsin and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates and lists Emily Moses, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1194466235

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameADVANCED SURGICAL AND RESTORATIVE CARE LLC

Location Address1470 RIVERS EDGE TRL STE BAltoona, WI 54720-2755

Mailing Address1470 Rivers Edge Trl Ste BAltoona, WI 54720-2755

Phone(715) 379-8718

Organization SubpartNo

Authorized OfficialEmily MosesChief Nursing Officer · (715) 930-1937

Enumeration DateApril 5, 2022

Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1194466235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1470 RIVERS EDGE TRL STE B, Altoona, WI 54720

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Other Names 1

Doing Business AsDefatta Ent & Plastics Surgery, Sc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 52D2263523

Advanced Surgical And Restorative Care, LLC · Altoona, WI

Active · expires Jun 28, 2028

CLIA Number52D2263523

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 29, 2026

Certificate Expiration DateJune 28, 2028

Laboratory DirectorDr. Robert J. Defatta

Laboratory Phone(715) 930-1937

Laboratory LocationAdvanced Surgical And Restorative Care, LLC1470 Rivers Edge Trl, Ste B, Altoona, WI 54720

CLIA data matches this NPI record on: Address Name Phone

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

Certificate of Compliance 52D2266650

Advanced Surgical And Restorative Care, LLC · Altoona, WI

Active · expires Nov 12, 2027

CLIA Number52D2266650

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 13, 2025

Certificate Expiration DateNovember 12, 2027

Laboratory DirectorDr. Timothy L. Weiland

Laboratory Phone(715) 930-1937

Laboratory LocationAdvanced Surgical And Restorative Care, LLC1470 Rivers Edge Trl, Ste B, Altoona, WI 54720

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 4

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

56 services56 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

36 services35 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

28 services28 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

11 services11 patients

Other Providers at the Same Location NPPES

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

ADVANCED SURGICAL AND RESTORATIVE CARE LLC

Nurse Anesthetist, Certified Registered

1470 RIVERS EDGE TRL STE B
ALTOONA, WI 54720

Eau Claire County (715) 930-1937

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 Advanced Surgical And Restorative Care LLC's NPI number?

The NPI number for Advanced Surgical And Restorative Care LLC is 1194466235. It was assigned to this organization in the NPPES registry on April 5, 2022. The provider is doing business as Defatta ENT & Plastics Surgery, SC.

Where is Advanced Surgical And Restorative Care LLC located?

Advanced Surgical And Restorative Care LLC is located at 1470 Rivers Edge Trl Ste B, Altoona, WI 54720. The listed phone number is (715) 379-8718.

What is Advanced Surgical And Restorative Care LLC's specialty?

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

Does Advanced Surgical And Restorative Care LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Surgical And Restorative Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Advanced Surgical And Restorative Care 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 Advanced Surgical And Restorative Care LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.