BAPTIST MEDICAL PARK SURGERY CENTER LLC
NPI 1417077090
Clinic/Center - Ambulatory Surgical in Pensacola, FL

Active since March 29, 2007CLIA 10D0983734 · Waiver
9400 UNIVERSITY PKWY, SUITE 102, PENSACOLA, FL 32514(448) 227-4172(850) 208-6335 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baptist Medical Park Surgery Center Llc NPPES

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

BAPTIST MEDICAL PARK SURGERY CENTER LLC (NPI 1417077090) is a healthcare organization registered as an ambulatory surgical in Pensacola, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Lori Suzanne Champagne, Sr. Manager Of Asc Operations, as its authorized official.

NPPES Registry Identity

NPI1417077090
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBAPTIST MEDICAL PARK SURGERY CENTER LLC
Location Address9400 UNIVERSITY PKWY, SUITE 102Pensacola, FL 32514-5752
Mailing Address9400 University Pkwy, Suite 102Pensacola, FL 32514-5752 · (448) 227-4172 · Fax (850) 208-6335
Fax(850) 208-6335
Organization SubpartNo
Authorized OfficialLori Suzanne ChampagneSr. Manager Of Asc Operations · (448) 227-4172
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1417077090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9400 UNIVERSITY PKWY, Pensacola, FL 32514

Other Identifiers 1

Medicaid0706205FL

Accepted 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 10D0983734

Baptist Medical Park Surgery Center LLC · Pensacola, FL
Active · expires Feb 28, 2027
CLIA Number10D0983734
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorPhillip D. Bentz
Laboratory Phone(850) 208-6306
Laboratory LocationBaptist Medical Park Surgery Center LLC9400 University Parkway, Pensacola, FL 32514
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 18

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.
1,095 services793 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.
149 services144 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.
95 services52 patients
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.
94 services94 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.
85 services44 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.
74 services69 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.

Physician Assistant
9400 UNIVERSITY PKWY, SUITE 309
PENSACOLA, FL 32514
Internal Medicine
9400 UNIVERSITY PKWY, SUITE 407
PENSACOLA, FL 32514
Nurse Practitioner (Family)
9400 UNIVERSITY PKWY, SUITE 210
PENSACOLA, FL 32514
Nurse Anesthetist, Certified Registered
9400 UNIVERSITY PKWY
PENSACOLA, FL 32514
Anesthesiology
9400 UNIVERSITY PKWY
PENSACOLA, FL 32514
Specialist
9400 UNIVERSITY PKWY, SUITE 309
PENSACOLA, FL 32514
Speech-Language Pathologist
9400 UNIVERSITY PKWY, BAPTIST MEDICAL PARK
PENSACOLA, FL 32514
Physician Assistant
9400 UNIVERSITY PKWY, STE 306
PENSACOLA, FL 32514

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 Baptist Medical Park Surgery Center LLC's NPI number?

The NPI number for Baptist Medical Park Surgery Center LLC is 1417077090. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Baptist Medical Park Surgery Center LLC located?

Baptist Medical Park Surgery Center LLC is located at 9400 University Pkwy Suite 102, Pensacola, FL 32514. The listed phone number is (448) 227-4172.

What is Baptist Medical Park Surgery Center LLC's specialty?

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

Does Baptist Medical Park Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0983734) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Medical Park Surgery Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Baptist Medical Park Surgery 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 Baptist Medical Park Surgery Center LLC was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.