ST. JOSEPH'S OUTPATIENT SURGERY CENTER LLC NPI 1306843222

NPI Details

ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Phoenix, AZ. ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC NPI is 1306843222. The provider is registered as an organization entity type.

The provider's business location address is:

240 W THOMAS RD
PHOENIX, AZ
ZIP 85013-407
Phone: (602) 406-3552
Fax: (602) 406-7139

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 03D2278799 - ancillary testing site in health care 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 nasal sinus tissue using an endoscope (HCPCS:31267)
• Removal of nasal air passage under lining tissue (HCPCS:30140)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Exploration of nasal sinus using an endoscope (HCPCS:31276)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Reshaping of nasal cartilage (HCPCS:30520)
• Removal of tissue from sphenoid sinus using an endoscope (HCPCS:31259)
• Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
• Repair of groin hernia (5 years or older) (HCPCS:49505)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays (HCPCS:61886)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
• Realignment of horizontal eye muscle (HCPCS:67311)
• Insertion of cochlear device (HCPCS:69930)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Repair of opening to cochlea (HCPCS:69667)
• Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
• Complete exam of nose and sinuses using an endoscope (HCPCS:31253)
• Incision of nasal sinus using an endoscope (HCPCS:31256)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
• Exam of nose and sinus with removal of nasal sinus using an endoscope (HCPCS:31257)
• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Obtaining ear cartilage for grafting (HCPCS:21235)
• Repair of side of voice box by moving vocal cord to middle (HCPCS:31591)
• Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
• Self soft tissue graft (HCPCS:15769)
• Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)
• Partial removal of breast (HCPCS:19301)
• Realignment of vertical eye muscle (HCPCS:67314)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
• Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
• Deep biopsy of muscle (HCPCS:20205)
• Repair of eardrum and ear canal with removal of middle ear bone (HCPCS:69643)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 1/16/2025.

Taxonomy Codes

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Other Identifiers

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