FAIRFIELD SURGERY CENTER, LLC
NPI 1881804508
Clinic/Center - Ambulatory Surgical in Fairfield, CT
NPI Status: Active since May 23, 2007
Contact Information
305 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825
Phone: (203) 337-2660
Fax: (203) 337-2665
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 07D0967514
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 11-15-2027
About FAIRFIELD SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Fairfield Surgery Center, Llc, a provider established in Fairfield, Connecticut operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1881804508 assigned on May 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 0268 (CT). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Charles Wallace (Administrator)
- NPI
- 1881804508
- Provider Name
- FAIRFIELD SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 305 BLACK ROCK TPKE FAIRFIELD, CT 06825
- Location Phone
- (203) 337-2660
- Location Fax
- (203) 337-2665
- Mailing Address
- 305 BLACK ROCK TPKE FAIRFIELD, CT 06825
- Mailing Phone
- (203) 337-2660
- Mailing Fax
- (203) 337-2665
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 01-18-2023
- Code Navigator
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.
- 0268
- License State
- CT
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.
Release of wrist ligament using an endoscope
Repair of shoulder rotator cuff using an endoscope
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
This service was performed 23 times for 21 patientsThis 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.
This service was performed 14 times for 14 patientsCLIA 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
- 07D0967514
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- November 16, 2025
- Certificate Expiration Date
- November 15, 2027
- Laboratory Director
- HENRY BACKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fairfield Surgery Center, Llc 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 1881804508, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
FAIRFIELD, CT 06825
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881804508, enumerated as an "organization" on May 23, 2007.
The provider is located at 305 BLACK ROCK TPKE FAIRFIELD, CT 06825 and the phone number is (203) 337-2660.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
