PHYSICIANS SURGERY CENTER LLC
NPI 1770588584
Clinic/Center - Ambulatory Surgical in Ft Myers, FL

Active since June 17, 2005CLIA 10D0664257 · Waiver
4035 EVANS AVE, FT MYERS, FL 33901(239) 788-0604(239) 230-0041 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Jul 11, 2025, Feb 10, 2023 and 2 more (5 updates tracked since 2021).

About Physicians Surgery Center Llc NPPES

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

PHYSICIANS SURGERY CENTER LLC (NPI 1770588584), doing business as National Spine & Ortho Surgery Center Of Ft. Myers, is a healthcare organization registered as an ambulatory surgical in Ft Myers, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Shaneka Tinch, Rcm Manager, Credentialing & Enroll, as its authorized official.

NPPES Registry Identity

NPI1770588584
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS SURGERY CENTER LLC
Location Address4035 EVANS AVEFt Myers, FL 33901-9308
Mailing Address4960 Sw 72nd Ave Ste 405Miami, FL 33155-5506 · (469) 458-9222 · Fax (540) 918-7202
Fax(239) 230-0041
Organization SubpartNo
Authorized OfficialShaneka TinchRcm Manager, Credentialing & Enroll · (470) 798-7293
Enumeration DateJune 17, 2005
Last NPPES UpdateApril 8, 20265 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1770588584 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 FL · 815
4035 EVANS AVE, Ft Myers, FL 33901

Other Names 1

Doing Business AsNational Spine & Ortho Surgery Center Of Ft. Myers

Other Identifiers 1

Medicaid062967700FL

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 10D0664257

Physicians Surgery Center, LLC · Fort Myers, FL
Active · expires Aug 31, 2026
CLIA Number10D0664257
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEugene Mahaney
Laboratory Phone(239) 788-0604
Laboratory LocationPhysicians Surgery Center, LLC4035 Evans Ave, Fort Myers, FL 33901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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 bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T
This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
97 services96 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.
80 services34 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
66 services32 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
40 services39 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.
39 services20 patients
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628
This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.
37 services37 patients

Other Providers at the Same Location NPPES 4

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

Physician Assistant
4035 EVANS AVE, SUITE 1
FORT MYERS, FL 33901
Nurse Anesthetist, Certified Registered
4035 EVANS AVE
FORT MYERS, FL 33901
Anesthesiology (Pain Medicine)
4035 EVANS AVE, SUITE 1
FORT MYERS, FL 33901
Non-Pharmacy Dispensing Site
4035 EVANS AVE, STE 1
FORT MYERS, FL 33901

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 Physicians Surgery Center LLC's NPI number?

The NPI number for Physicians Surgery Center LLC is 1770588584. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as National Spine & Ortho Surgery Center of Ft. Myers.

Where is Physicians Surgery Center LLC located?

Physicians Surgery Center LLC is located at 4035 Evans Ave, Ft Myers, FL 33901. The listed phone number is (239) 788-0604.

What is Physicians Surgery Center LLC's specialty?

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

Does Physicians Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0664257) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physicians Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Physicians 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 Physicians Surgery Center LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.