WAVECO LLC NPI 1760418917

NPI Information

  • NPI: 1760418917
  • Provider Name: WAVECO LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CAROLINA CENTER FOR SPECIALTY SURGERY
  • CLIA Number: 34D1056490
  • Address: 1822 BRUNSWICK AVE
    CHARLOTTE, NC
    ZIP 28207
  • Phone: (704) 831-4400

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NPI Details

WAVECO LLC is an ambulatory surgical clinic center in Charlotte, NC. WAVECO LLC NPI is 1760418917. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Center For Specialty Surgery.

The provider's business location address is:

1822 BRUNSWICK AVE
CHARLOTTE, NC
ZIP 28207-820
Phone: (704) 831-4400
Fax: (704) 831-4401

The provider's authorized official is Mary S Cloninger .
The authorized official title is Member Board Of Directors and has the following contact phone number (704) 376-1605.

The CLIA number assigned to this NPI record is 34D1056490 - 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.

  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Removal of spine bone for insertion of neurostimulator electrode plate in spine (HCPCS:63655)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Release of lower spinal cord and/or nerves, single segment (HCPCS:63056)
  • Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment (HCPCS:63045)
  • Treatment of broken lower spine bone with placement of stabilizing device (HCPCS:22514)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/30/2015.

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 SurgicalAS0058NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760418917MEDICAIDNORTH CAROLINA
22380827MEDICARE PINNORTH CAROLINA

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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