SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC
NPI 1245233410
Clinic/Center - Ambulatory Surgical in Forty Fort, PA

Q: What is Surgical Specialty Center Of Northeastern Pennsylvania, LLC's specialty?

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

Active since May 23, 2005CLIA 39D0991732 · Waiver

190 WELLES ST, FORTY FORT, PA 18704(570) 331-7615(570) 331-7614 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Surgical Specialty Center Of Northeastern Pennsylvania, Llc NPPES

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

SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC (NPI 1245233410) is a healthcare organization registered as an ambulatory surgical in Forty Fort, Pennsylvania and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1245233410

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC

Location Address190 WELLES STForty Fort, PA 18704-4968

Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720

Phone(570) 331-7615

Fax(570) 331-7614

Organization SubpartNo

Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283

Enumeration DateMay 23, 2005

Last NPPES UpdateDecember 14, 2022

NPPES CertifiedDecember 14, 2022

✔ NPI 1245233410 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 PA · 148601

190 WELLES ST, Forty Fort, PA 18704

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Other Identifiers 12

Other814135PA · First Priority Health Pro

Other127866PA · Med Plus/3 Rivers Provide

Other2139542PA · United Healthcare

Other991073PA · Blue Cross Provider #

Other077861PA · Amerihealth Provider #

Other0198PA · Freedom Blue

Other49005260PA · Medicare Railroad

OtherA2738987PA · Oxford Provider #

Other68929PA · Geisinger Provider #

OtherIY0345PA · Health Net Provider #

Medicaid0018825790001PA

Other2670019PA · Aetna Provider Number

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 39D0991732

Surgical Specialty Center Of NE PA · Forty Fort, PA

Active · expires Sep 26, 2027

CLIA Number39D0991732

Laboratory TypePhysician Office

Certificate Effective DateSeptember 27, 2025

Certificate Expiration DateSeptember 26, 2027

Laboratory DirectorThomas W. Hanlon MD

Laboratory Phone(570) 331-7615

Laboratory LocationSurgical Specialty Center Of NE PA190 Welles Street, Forty Fort, PA 18704

CLIA data matches this NPI record on: Address Phone

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

Areas of Expertise CMS Part B claims 13

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 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.

1,321 services770 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

488 services342 patients

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.

412 services64 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

86 services60 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

86 services67 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

79 services45 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

30 services19 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

28 services14 patients

Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye 66988

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. A laser is then used to reduce fluid production in the eye, helping to lower pressure and improve vision.

28 services20 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

22 services16 patients

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis 67908

This procedure involves the removal of excess tissue, muscle, and membrane from the eyelid to correct drooping or paralysis. It helps improve vision and appearance. The operation is performed under local or general anesthesia, ensuring patient comfort throughout.

21 services11 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.

19 services16 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

18 services15 patients

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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.

ANDREW T TURRISI III MD

Radiology (Radiation Oncology)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 714-8686

DR. LOUIS R. SIEMINSKI PH.D.

Audiologist-Hearing Aid Fitter

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 287-8649

DIAGNOSTIC BREAST CENTER, INC.

Surgery

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 718-6690

MELISSA MIKOVITCH CRNP

Nurse Practitioner (Family)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 718-4140

JOHN DELLA ROSA, MD

Psychiatry & Neurology (Neurology)

190 WELLES ST, SUITE 114
FORTY FORT, PA 18704

Luzerne County (570) 331-2655

RADIATION MEDICINE SPECIALISTS OF NORTHEAST PENNSYLVANIA P C

Radiology (Radiation Oncology)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 714-8686

KARI MARIE YOUNGBLOOD DPT

Physical Therapist

190 WELLES ST, SUITE 166
FORTY FORT, PA 18704

Luzerne County (570) 714-4177

VALLEY ENT, P.C.

Specialist

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 283-0524

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 Surgical Specialty Center Of Northeastern Pennsylvania, LLC's NPI number?

The NPI number for Surgical Specialty Center Of Northeastern Pennsylvania, LLC is 1245233410. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Surgical Specialty Center Of Northeastern Pennsylvania, LLC located?

Surgical Specialty Center Of Northeastern Pennsylvania, LLC is located at 190 Welles St, Forty Fort, PA 18704. The listed phone number is (570) 331-7615.

What is Surgical Specialty Center Of Northeastern Pennsylvania, LLC's specialty?

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

Does Surgical Specialty Center Of Northeastern Pennsylvania, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0991732) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgical Specialty Center Of Northeastern Pennsylvania, LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 Surgical Specialty Center Of Northeastern Pennsylvania, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 12

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 39D0991732

Areas of Expertise CMS Part B claims 13

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Surgical Specialty Center Of Northeastern Pennsylvania, LLC's NPI number?

Where is Surgical Specialty Center Of Northeastern Pennsylvania, LLC located?

What is Surgical Specialty Center Of Northeastern Pennsylvania, LLC's specialty?

Does Surgical Specialty Center Of Northeastern Pennsylvania, LLC hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 39D0991732