INTERCOASTAL MEDICAL GROUP AMBULATORY SURGERY CENTER
NPI 1801869847
Clinic/Center - Ambulatory Surgical in Sarasota, FL

NPI Status: Active since February 09, 2006

Contact Information

3333 CATTLEMEN RD
SUITE 100
SARASOTA, FL
ZIP 34232
Phone: (941) 379-5884
Fax: (941) 379-1760

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 10D1012524
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-12-2027

About INTERCOASTAL MEDICAL GROUP AMBULATORY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Intercoastal Medical Group Ambulatory Surgery Center, a provider established in Sarasota, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1801869847 assigned on February 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 1181 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Intercoastal Medical Group Ambulatory Surgery Center. The authorized official of this NPI record is Mr. Geoffrey G Simon Facmpe (Ceo/administrator)

NPI
1801869847
Provider Legal Name
AESCULAPIAN SURGERY CENTER, LLC
Other Organization Name
INTERCOASTAL MEDICAL GROUP AMBULATORY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3333 CATTLEMEN RD SUITE 100 SARASOTA, FL 34232
Location Phone
(941) 379-5884
Location Fax
(941) 379-1760
Mailing Address
3333 CATTLEMEN RD SUITE 100 SARASOTA, FL 34232
Mailing Phone
(941) 379-5884
Mailing Fax
(941) 379-1760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2006
Last Update Date
08-17-2016
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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.
1181
License State
FL

Insurance Plans Accepted

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

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

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

MR. GEOFFREY G SIMON FACMPE

Authorized Official Title
CEO/ADMINISTRATOR
Authorized Official Phone
(941) 955-1108

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
075718700MEDICAID (05)FL 
F1406MEDICARE PIN (08)FL 

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.

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

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.

This service was performed 72 times for 69 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 815 times for 796 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 938 times for 936 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

This service was performed 16 times for 16 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 13 times for 13 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 270 times for 270 patients

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

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.

This service was performed 97 times for 97 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

This service was performed 19 times for 19 patients

Control of bleeding of upper large bowel using a flexible endoscope

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

This service was performed 28 times for 28 patients

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 20 times for 13 patients

Destruction of polyp or growth of large bowel using a flexible endoscope

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

This service was performed 20 times for 20 patients

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

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.

This service was performed 58 times for 58 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 46 times for 46 patients

Dilation of esophagus

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.

This service was performed 95 times for 94 patients

Injection beneath lining of large bowel using a flexible endoscope

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.

This service was performed 44 times for 44 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 151 times for 62 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 27 times for 11 patients

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

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.

This service was performed 14 times for 14 patients

Release and/or relocation of hand nerve

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.

This service was performed 61 times for 51 patients

Removal of central venous tube with port or pump

The removal of a central venous tube with port or pump is a procedure that eliminates a device implanted under your skin. This device helped deliver medication or nutrients directly into a large vein near your heart. Its removal involves a minor surgical procedure performed under local anesthesia.

This service was performed 11 times for 11 patients

Removal of growth of muscle of hand or finger, 1.5 cm or more

This procedure involves the surgical removal of a growth that is 1.5 cm or larger from the muscle of your hand or finger. The aim is to eliminate any discomfort or function interference it may be causing. The process is performed under anesthesia for your comfort.

This service was performed 13 times for 13 patients

Removal of growth of tendon finger or hand

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

This service was performed 35 times for 28 patients

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

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.

This service was performed 14 times for 14 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

This service was performed 17 times for 17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 905 times for 905 patients

Removal of varicose veins of arm or leg, more than 20 incisions

This procedure involves making over 20 small incisions to remove varicose veins from your arm or leg. Varicose veins are enlarged, twisted veins that can cause discomfort. The goal is to alleviate symptoms and improve appearance. Local anesthesia is applied for comfort.

This service was performed 15 times for 12 patients

Repair of groin hernia (5 years or older)

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.

This service was performed 43 times for 41 patients

Repair of incisional or abdominal hernia

Repair of an incisional or abdominal hernia is a surgical procedure to fix a weak spot in your abdominal wall. This weakness may cause a bulge or tear, allowing internal organs to push through. During the surgery, the hernia is pushed back into place and the abdominal wall is strengthened.

This service was performed 11 times for 11 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
10D1012524
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 13, 2025
Certificate Expiration Date
May 12, 2027
Laboratory Director
STACIE DILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Intercoastal Medical Group Ambulatory Surgery Center 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801869847
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28011661888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 6 + 1 + 8 + 8 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1801869847 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

POH S KHAW MD

Internal Medicine

(Gastroenterology)

3333 CATTLEMEN RD
SUITE 204
SARASOTA, FL
ZIP 34232

(941) 342-8892

RICHARD S MORSE MD

Internal Medicine

(Gastroenterology)

3333 CATTLEMEN RD
SUITE 204
SARASOTA, FL
ZIP 34232

(941) 342-8892

IREN J POBER MD

Internal Medicine

(Gastroenterology)

3333 CATTLEMEN RD
SUITE 204
SARASOTA, FL
ZIP 34232

(941) 342-8892

RICHARD S DUCKWORTH MD

Internal Medicine

3333 CATTLEMEN RD
SUITE 210
SARASOTA, FL
ZIP 34232

(941) 371-3337

KATHRYN D HURVITZ PA

Physician Assistant

3333 CATTLEMEN RD
SUITE 210
SARASOTA, FL
ZIP 34232

(941) 371-3337

DR. RAMON E COLINA MD

Internal Medicine

(Gastroenterology)

3333 CATTLEMEN RD
SUITE 202
SARASOTA, FL
ZIP 34232

(941) 342-8892

BARRY BALDINI CRNA

Nurse Anesthetist, Certified Registered

3333 CATTLEMEN RD
SARASOTA, FL
ZIP 34232

(941) 379-5884

SPARTAN ANESTHESIA ASSOCIATES PA

Anesthesiology

3333 CATTLEMEN RD
SUITE 100
SARASOTA, FL
ZIP 34232

(855) 250-6017

BONNIE L GABRIEL MD

Internal Medicine

3333 CATTLEMEN RD
SUITE 208
SARASOTA, FL
ZIP 34232

(941) 379-5121

JOHN O BINNS MD

Internal Medicine

3333 CATTLEMEN RD
SUITE 208
SARASOTA, FL
ZIP 34232

(941) 379-5121

ROBERT G MARCANTONIO MD

Internal Medicine

3333 CATTLEMEN RD
SUITE 208
SARASOTA, FL
ZIP 34232

(941) 379-5121

ISSAM D SOUSSOU MD

Surgery

(Vascular Surgery)

3333 CATTLEMEN RD
SUITE 206
SARASOTA, FL
ZIP 34232

(941) 341-0042

KELLY EDWARDS CRNA

Nurse Anesthetist, Certified Registered

3333 CATTLEMEN RD
SARASOTA, FL
ZIP 34232

(540) 597-7021

DR. ERIN M. LONG M.D.

Dermatology

3333 CATTLEMEN RD
SUITE 106
SARASOTA, FL
ZIP 34232

(941) 379-1799

DR. DAVID T REICHEL M.D.

Internal Medicine

3333 CATTLEMEN RD
SUITE 210
SARASOTA, FL
ZIP 34232

(941) 371-3337

AMANDA KOWALSKI PA-C

Physician Assistant

(Medical)

3333 CATTLEMEN RD
SUITE 106
SARASOTA, FL
ZIP 34232

(941) 379-1799

MATTHEW D BYERS MD

Otolaryngology

3333 CATTLEMEN RD
SUITE 204
SARASOTA, FL
ZIP 34232

(941) 379-1800

JOSEPH J CREEVY MD

Internal Medicine

3333 CATTLEMEN RD
SUITE 210
SARASOTA, FL
ZIP 34232

(941) 371-3337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801869847, enumerated in the NPI registry as an "organization" on February 09, 2006

The provider is located at 3333 Cattlemen Rd Suite 100 Sarasota, Fl 34232 and the phone number is (941) 379-5884

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm, Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Biopsy of lining of uterus and/or removal of polyp using an endoscope, Biopsy of lower large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Control of bleeding of upper large bowel using a flexible endoscope, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Destruction of polyp or growth of large bowel using a flexible endoscope, Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Diagnostic exam of large bowel using a flexible endoscope, Dilation of esophagus, Injection beneath lining of large bowel using a flexible endoscope, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of lower or sacral spine facet joint using imaging guidance, single level, Insertion of guide wire with dilation of esophagus using a flexible endoscope, Release and/or relocation of hand nerve, Removal of central venous tube with port or pump, Removal of growth of muscle of hand or finger, 1.5 cm or more, Removal of growth of tendon finger or hand, Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare, Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, Removal of polyps or growths of large bowel using an endoscope with mechanical snare, Removal of varicose veins of arm or leg, more than 20 incisions, Repair of groin hernia (5 years or older) and Repair of incisional or abdominal hernia.

The provider's CLIA number is 10D1012524 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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