PRINCE WILLIAM SURGERY CENTER
NPI 1528077658
Clinic/Center - Ambulatory Surgical in Manassas, VA

Q: What is Prince William Ambulatory 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 August 07, 2006CLIA 49D1041169 · Waiver

8644 SUDLEY RD, SUITE 201, MANASSAS, VA 20110(703) 369-8525(571) 229-1533 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Nov 29, 2021, Jul 22, 2019 and 1 more (4 updates tracked since 2019).

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About Prince William Surgery Center NPPES

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

PRINCE WILLIAM SURGERY CENTER (NPI 1528077658) is a healthcare organization registered as an ambulatory surgical in Manassas, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Kristen O'connor, Officer / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1528077658

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC

Location Address8644 SUDLEY RD, SUITE 201Manassas, VA 20110-4417

Mailing Address8644 Sudley Rd, Suite 201Manassas, VA 20110-4417 · (703) 369-8525 · Fax (571) 229-1533

Phone(703) 369-8525

Fax(571) 229-1533

Organization SubpartNo

Authorized OfficialKristen O'connorOfficer / Authorized Official · (615) 376-7315

Enumeration DateAugust 7, 2006

Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1528077658 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 VA · OH695

8644 SUDLEY RD, Manassas, VA 20110

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Other Names 1

Other NamePrince William Surgery Center

Other Identifiers 7

Other2579620Uhc

Other9731258Cigna

Other2142411Mdipa/optimum Choice

Medicaid010274656VA

Other186080Anthem Healthkeepers

Other186080VA · Anthem

Other2142411Mamsi/uhc

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 49D1041169

Prince William Ambulatory Surgical Center · Manassas, VA

Active · expires May 24, 2027

CLIA Number49D1041169

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 25, 2025

Certificate Expiration DateMay 24, 2027

Laboratory DirectorMurphy Keely

Laboratory Phone(703) 396-8525

Laboratory LocationPrince William Ambulatory Surgical Center8644 Sudley Road - Suite 201, Manassas, VA 20110

CLIA data matches this NPI record on: Address

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

Areas of Expertise CMS Part B claims 32

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.

3,991 services31 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.

672 services669 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.

566 services367 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.

508 services490 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.

371 services368 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.

151 services148 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

135 services134 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

70 services70 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

48 services33 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.

40 services34 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

37 services36 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.

33 services12 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.

29 services15 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

29 services29 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

27 services27 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

27 services27 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.

25 services20 patients

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy C9777

This is a test where a small device is passed through your mouth to check the health of your esophagus. It uses electrical signals to assess the esophagus lining. It may be done along with an esophagoscopy, a procedure to examine your upper digestive system.

24 services24 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.

23 services12 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

22 services13 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.

21 services18 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

19 services16 patients

Processing, preserving and transporting corneal tissue V2785

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

19 services18 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

18 services17 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.

15 services14 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.

14 services14 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.

14 services11 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

13 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

12 services11 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

11 services11 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

11 services11 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

11 services11 patients

Other Providers at the Same Location NPPES 14

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

OLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC

Orthopaedic Surgery

8644 SUDLEY RD, STE 308
MANASSAS, VA 20110

Manassas City (703) 369-9070

SASSAN HASSASSIAN M.D.

Pain Medicine (Interventional Pain Medicine)

8644 SUDLEY RD, STE 117
MANASSAS, VA 20110

Manassas City (703) 738-4375

CHERYL BOSTON AU.D., FAAA

Audiologist

8644 SUDLEY RD, SUITE 114
MANASSAS, VA 20110

Manassas City (703) 330-3363

MRS. LLOUANA L HARPER NCC, LPC

Counselor (Professional)

8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110

Manassas City (703) 369-8055

MS. ANNA-MARIE E. HAMMOND P.T. , A.T.C.

Physical Therapist

8644 SUDLEY RD, SUITE 310
MANASSAS, VA 20110

Manassas City (571) 292-9910

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Psychiatry & Neurology (Psychiatry)

8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110

Manassas City (703) 369-8055

DR. KEVIN EDWARD PELTIER I MD

Orthopaedic Surgery (Sports Medicine)

8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110

Manassas City (703) 369-9070

PHYSICAL MEDICINE ASSOCIATES, LTD

Physical Medicine & Rehabilitation (Pain Medicine)

8644 SUDLEY RD, SUITE 117
MANASSAS, VA 20110

Manassas City (703) 914-8000

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 Prince William Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Prince William Ambulatory Surgery Center, LLC is 1528077658. It was assigned to this organization in the NPPES registry on August 7, 2006. The provider is also known as Prince William Surgery Center.

Where is Prince William Ambulatory Surgery Center, LLC located?

Prince William Ambulatory Surgery Center, LLC is located at 8644 Sudley Rd Suite 201, Manassas, VA 20110. The listed phone number is (703) 369-8525.

What is Prince William Ambulatory Surgery Center, LLC's specialty?

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

Does Prince William Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1041169) is associated with this NPI, valid through May 24, 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 Prince William Ambulatory Surgery Center, LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 Prince William Surgery Center NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Other Identifiers 7

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 49D1041169

Areas of Expertise CMS Part B claims 32

Other Providers at the Same Location NPPES 14

Frequently Asked Questions NPPES & CMS

What is Prince William Ambulatory Surgery Center, LLC's NPI number?

Where is Prince William Ambulatory Surgery Center, LLC located?

What is Prince William Ambulatory Surgery Center, LLC's specialty?

Does Prince William Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 49D1041169