MISSISSIPPI VALLEY SURGERY CENTER
NPI 1619933835
Clinic/Center - Ambulatory Surgical in Davenport, IA

Q: What is Mississippi Medical Plaza, Lc's NPI number?

The NPI number for Mississippi Medical Plaza, Lc is 1619933835. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider is doing business as Mississippi Valley Surgery Center.

Q: What is Mississippi Medical Plaza, Lc's specialty?

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

Active since April 25, 2006CLIA Certified · 2 labs

3400 DEXTER CT, #200, DAVENPORT, IA 52807(563) 344-6600(563) 344-6699 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mississippi Valley Surgery Center NPPES

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

MISSISSIPPI VALLEY SURGERY CENTER (NPI 1619933835) is a healthcare organization registered as an ambulatory surgical in Davenport, Iowa and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan K Lohf, Manager, as its authorized official.

NPPES Registry Identity

NPI1619933835

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMISSISSIPPI MEDICAL PLAZA, LC

Location Address3400 DEXTER CT, #200Davenport, IA 52807-3461

Mailing Address3400 Dexter Ct, #200Davenport, IA 52807-3461 · (563) 344-6600 · Fax (563) 344-6699

Phone(563) 344-6600

Fax(563) 344-6699

Organization SubpartNo

Authorized OfficialSusan K LohfManager · (563) 344-6600

Enumeration DateApril 25, 2006

Last NPPES UpdateSeptember 19, 2014

✔ NPI 1619933835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3400 DEXTER CT, Davenport, IA 52807

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Other Names 1

Doing Business AsMississippi Valley Surgery Center

Other Identifiers 3

Medicare ID-Type Unspecified61007

Medicaid0143073IA

Medicare PINI21318IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 16D0920106

Mississippi Valley Surgery Center · Davenport, IA

Active · expires Sep 23, 2026

CLIA Number16D0920106

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 24, 2024

Certificate Expiration DateSeptember 23, 2026

Laboratory DirectorMichael Dolphin

Laboratory Phone(563) 344-6648

Laboratory LocationMississippi Valley Surgery Center3400 Dexter Court 200, Davenport, IA 52807

CLIA data matches this NPI record on: Address Name

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

Certificate of Waiver 16D1041077

Mississippi Valley Surgery Center · Davenport, IA

Active · expires May 23, 2027

CLIA Number16D1041077

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 24, 2025

Certificate Expiration DateMay 23, 2027

Laboratory DirectorMichael Dolphin

Laboratory Phone(563) 344-6648

Laboratory LocationMississippi Valley Surgery Center5041 Utica Ridge Road, Suite 200, Davenport, IA 52807

CLIA data matches this NPI record on: Name

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

Areas of Expertise CMS Part B claims 31

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.

11,970 services82 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.

283 services264 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.

264 services260 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.

194 services125 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.

171 services171 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.

117 services20 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

86 services77 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

66 services60 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.

48 services48 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

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.

45 services22 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

37 services34 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.

33 services30 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.

32 services32 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm 11643

This procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.

30 services26 patients

Incision of eardrum with placement of eardrum tube under general anesthesia 69436

This procedure involves making a small cut in the eardrum to drain fluid and alleviate pressure. A tiny tube is then inserted to keep the hole open and prevent further fluid buildup. General anesthesia is used to ensure patient comfort.

28 services19 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

26 services26 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

26 services24 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

23 services12 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

22 services22 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.

21 services17 patients

Incision of nasal sinus using an endoscope 31256

This procedure, called endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera on the end, known as an endoscope. It's inserted into the nasal passages to view and remove obstructions in the sinuses, helping to alleviate symptoms.

20 services11 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.

20 services20 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.

18 services16 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.

17 services16 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

16 services16 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.

16 services16 patients

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606

This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.

13 services13 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.

13 services11 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm 11644

This procedure involves the careful removal of a cancerous growth on the face, including areas like the ears, eyelids, nose, lips, or mouth. The size of the growth is between 3.1 and 4.0 cm. The aim is to eliminate cancer cells while preserving surrounding healthy tissue.

12 services11 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

12 services12 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.

11 services11 patients

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Other Providers at the Same Location NPPES 16

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

PRECISION ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

3400 DEXTER CT
DAVENPORT, IA 52807

Scott County (563) 344-6600

MRS. SHERRY REED KONTOS CRNA

Registered Nurse

3400 DEXTER CT, SUITE 101
DAVENPORT, IA 52807

Scott County (563) 344-6746

DR. TIMOTHY J. MILLER M.D.

Pain Medicine (Pain Medicine)

3400 DEXTER CT
DAVENPORT, IA 52807

Scott County (319) 321-8151

LAURI A HARSH

Internal Medicine (Gastroenterology)

3400 DEXTER CT, SUITE 116
DAVENPORT, IA 52807

Scott County (563) 355-7602

PAUL K H FIGGE JR. MD

Obstetrics & Gynecology (Reproductive Endocrinology)

3400 DEXTER CT, STE 100
DAVENPORT, IA 52807

Scott County (563) 355-2244

DR. WILLIAM E. OLSON M.D.

Surgery

3400 DEXTER CT, SUITE 118
DAVENPORT, IA 52807

Scott County (563) 344-8333

JULIE A RIDGLEY CRNA

Nurse Anesthetist, Certified Registered

3400 DEXTER CT, SUITE 101
DAVENPORT, IA 52807

Scott County (563) 344-6600

TIMOTHY P NEWCOMB CRNA

Nurse Anesthetist, Certified Registered

3400 DEXTER CT, SUITE 101
DAVENPORT, IA 52807

Scott County (563) 344-6600

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 Mississippi Medical Plaza, Lc's NPI number?

The NPI number for Mississippi Medical Plaza, Lc is 1619933835. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider is doing business as Mississippi Valley Surgery Center.

Where is Mississippi Medical Plaza, Lc located?

Mississippi Medical Plaza, Lc is located at 3400 Dexter Ct #200, Davenport, IA 52807. The listed phone number is (563) 344-6600.

What is Mississippi Medical Plaza, Lc's specialty?

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

Does Mississippi Medical Plaza, Lc 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 Mississippi Medical Plaza, Lc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Mississippi Medical Plaza, Lc 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 Mississippi Medical Plaza, Lc was last updated on September 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Mississippi Valley Surgery Center NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Other Identifiers 3

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Certificate of Waiver · 16D0920106

Certificate of Waiver · 16D1041077

Areas of Expertise CMS Part B claims 31

Other Providers at the Same Location NPPES 16

Frequently Asked Questions NPPES & CMS

What is Mississippi Medical Plaza, Lc's NPI number?

Where is Mississippi Medical Plaza, Lc located?

What is Mississippi Medical Plaza, Lc's specialty?

Does Mississippi Medical Plaza, Lc hold CLIA laboratory certificates?

What insurance does Mississippi Medical Plaza, Lc accept?

When was this NPI record last updated?

Certificate of Waiver 16D0920106

Certificate of Waiver 16D1041077