WEST BEND SURGERY CENTER LLC NPI 1447269790

NPI Details

WEST BEND SURGERY CENTER LLC is an ambulatory surgical clinic center in West Bend, WI. WEST BEND SURGERY CENTER LLC NPI is 1447269790. The provider is registered as an organization entity type.

The provider's business location address is:

3212 PLEASANT VALLEY RD
WEST BEND, WI
ZIP 53095-274
Phone: (262) 334-6165
Fax: (262) 334-1658

The provider's authorized official is Alicia Maitland .
The authorized official title is Svp Finance and has the following contact phone number (414) 777-0979.

The CLIA number assigned to this NPI record is 52D0957898 - 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.

• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 2/5/2025.

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: