WYOMISSING SURGICAL SERVICES INC.
NPI 1568469328
Clinic/Center - Ambulatory Surgical in Wyomissing, PA

NPI Status: Active since July 07, 2005

Contact Information

1235 PENN AVE
SUITE 100
WYOMISSING, PA
ZIP 19610
Phone: (610) 373-3715
Fax: (610) 373-3164

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 39D1010086
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-05-2027

About WYOMISSING SURGICAL SERVICES INC.

This page provides the complete NPI Profile along with additional information for Wyomissing Surgical Services Inc., a provider established in Wyomissing, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1568469328 assigned on July 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 16691501 (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Jason Thomas Bundy M.d. (Medical Director)

NPI
1568469328
Provider Name
WYOMISSING SURGICAL SERVICES INC.
Entity Type
Organization
Location Address
1235 PENN AVE SUITE 100 WYOMISSING, PA 19610
Location Phone
(610) 373-3715
Location Fax
(610) 373-3164
Mailing Address
1235 PENN AVE SUITE 100 WYOMISSING, PA 19610
Mailing Phone
(610) 373-3715
Mailing Fax
(610) 373-3164
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2005
Last Update Date
07-27-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
16691501
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JASON THOMAS BUNDY M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(610) 373-3715

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
390850OTHER (01)PACAPITAL BLUE CROSS
2072OTHER (01)PAINDEPENDENCE BLUE CROSS
231648OTHER (01)PAHEALTHAMERICA
070683MEDICARE PIN (08)PA 
104918000OTHER (01)PAFEDERAL WORKER'S COMP
1869OTHER (01)PAHIGHMARK BLUE SHIELD

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

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.

This service was performed 160 times for 55 patients

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

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.

This service was performed 167 times for 68 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

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.

This service was performed 195 times for 67 patients

Injection of substance into lower spine canal using imaging guidance

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.

This service was performed 276 times for 201 patients

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

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.

This service was performed 51 times for 42 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

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.

This service was performed 81 times for 53 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D1010086
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
DR. JASON T. BUNDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wyomissing Surgical Services Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568469328, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 8 + 6 + 1 + 8 + 3 + 4 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1568469328.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1235 PENN AVE, SUITE 302
WYOMISSING, PA 19610
Counselor (Mental Health)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Counselor (Mental Health)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Social Worker
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Social Worker (Clinical)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Psychologist (Clinical)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Marriage & Family Therapist
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Acupuncturist
1235 PENN AVE, SUITE 302
WYOMISSING, PA 19610
Social Worker
1235 PENN AVE, 205-206
WYOMISSING, PA 19610
Counselor (Professional)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Physician Assistant
1235 PENN AVE
WYOMISSING, PA 19610
Social Worker (Clinical)
1235 PENN AVE, SUITE 205-206
WYOMISSING, PA 19610
Counselor
1235 PENN AVE, SUITES 205-206
WYOMISSING, PA 19610
Durable Medical Equipment & Medical Supplies
1235 PENN AVE
WYOMISSING, PA 19610
Physician Assistant (Medical)
1235 PENN AVE, SUITE 302
WYOMISSING, PA 19610
Clinic/Center (Federally Qualified Health Center (FQHC))
1235 PENN AVE
WYOMISSING, PA 19610
Durable Medical Equipment & Medical Supplies
1235 PENN AVE, SUITE 302
WYOMISSING, PA 19610
Specialist
1235 PENN AVE, STE 302
WYOMISSING, PA 19610
Pain Medicine (Interventional Pain Medicine)
1235 PENN AVE
WYOMISSING, PA 19610
Pain Medicine (Interventional Pain Medicine)
1235 PENN AVE, SUITE 302
WYOMISSING, PA 19610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568469328, enumerated as an "organization" on July 07, 2005.

The provider is located at 1235 PENN AVE SUITE 100 WYOMISSING, PA 19610 and the phone number is (610) 373-3715.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.