ADVANCED SURGERY CENTER LLC NPI 1053366930

NPI Information

  • NPI: 1053366930
  • Provider Name: ADVANCED SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 28D1050381
  • Address: 111 S 10TH ST
    OMAHA, NE
    ZIP 68102
  • Phone: (402) 345-1712

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NPI Details

ADVANCED SURGERY CENTER, LLC is an ambulatory surgical clinic center in Omaha, NE. ADVANCED SURGERY CENTER, LLC NPI is 1053366930. The provider is registered as an organization entity type.

The provider's business location address is:

111 S 10TH ST
OMAHA, NE
ZIP 68102-104
Phone: (402) 345-1712
Fax: (402) 345-1864

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 28D1050381 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Correction of toe joint deformity (HCPCS:28285)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones (HCPCS:64628)

The enumeration date for this NPI number is 5/22/2006 and was last updated on 4/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalASC042NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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