MALLARD CREEK SURGERY CENTER
NPI 1144652330
Clinic/Center - Ambulatory Surgical in Charlotte, NC

NPI Status: Active since July 30, 2013

Contact Information

9848 N TRYON ST
SUITE 200
CHARLOTTE, NC
ZIP 28262
Phone: (704) 548-5200
Fax: (704) 323-3933

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About MALLARD CREEK SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Mallard Creek Surgery Center, a provider established in Charlotte, North Carolina operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1144652330 assigned on July 2013. The practitioner's primary taxonomy code is 261QA1903X with license number 00000 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mallard Creek Surgery Center. The authorized official of this NPI record is Brent Shear (Cfo)

NPI
1144652330
Provider Legal Name
UNIVERSITY SURGERY CENTER LLC
Other Organization Name
MALLARD CREEK SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9848 N TRYON ST SUITE 200 CHARLOTTE, NC 28262
Location Phone
(704) 548-5200
Location Fax
(704) 323-3933
Mailing Address
PO BOX 117444 ATLANTA, GA 30368
Mailing Phone
(704) 323-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2013
Last Update Date
11-10-2023
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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.
00000
License State
NC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Bronze Standard | Limited Statewide Doctors - POS
  • Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Gold Standard | Limited Statewide Doctors - POS
  • Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Silver Standard | Limited Statewide Doctors - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENT SHEAR

Authorized Official Title
CFO
Authorized Official Phone
(704) 323-2222

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.

Correction of bunion

A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.

This service was performed 16 times for 16 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 25 times for 15 patients

Fusion of big toe at joint with foot

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

This service was performed 17 times for 17 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

This service was performed 17 times for 14 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 13 times for 13 patients

Reconstruction of soft tissue angular deformity of toe

Reconstruction of soft tissue angular deformity of the toe is a procedure to correct abnormal bending in the toe. It involves adjusting soft tissues like tendons and ligaments to restore the toe's normal alignment. This can ease discomfort and improve foot function.

This service was performed 30 times for 18 patients

Release and/or relocation of elbow nerve

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

This service was performed 11 times for 11 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 26 times for 25 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 20 times for 20 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 26 times for 26 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 12 times for 12 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 33 times for 33 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 16 times for 16 patients

Repair of shoulder rotator cuff using an endoscope

This 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 38 times for 38 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 42 times for 40 patients

Transfer of tendon to back of hand

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

This service was performed 20 times for 20 patients

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144652330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184125436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 2 + 5 + 4 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1144652330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184617151MR. JOHN CHARLES HARRISON PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1407839491DR. ROBERT BENNIS MCBRIDE JR. MD
Individual
Orthopaedic Surgery9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1801870381DR. MICHAEL LEE DOCKERY MD
Individual
Orthopaedic Surgery9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1376587386MR. STEVEN JAMES LAWSON P.A.
Individual
Physician Assistant9848 N TRYON ST SUITE 200
CHARLOTTE, NC 28262
(704) 323-2000
1134165202MRS. JENNIFER IRENE DICKINSON P.T.
Individual
Physical Therapist9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2248
1093898280MS. ROSCHELLA Y STEPHENS PT, MS, SCS
Individual
Physical Therapist9848 N TRYON ST STE 200
CHARLOTTE, NC 28262
(704) 323-2000
1205956323DR. MATTHEW DAVID OHL MD
Individual
Orthopaedic Surgery9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1083962468 SHANNON SWIATKIEWICZ GROSS
Individual
Specialist/Technologist (Athletic Trainer)9848 N TRYON ST
CHARLOTTE, NC 28262
(336) 323-2100
1275802696 ASHLEY BLACK KERNICKY PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1083846471 RYAN JOSEPH FINOTTI DPT
Individual
Physical Therapist9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1740263599MR. TODD JAMES MCLAUGHLIN PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1881177830 RICHARD CHASE JOHNSTON PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1265754311ORTHOCAROLINA, PA
Organization
Orthopaedic Surgery9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2000
1497170203MRS. KRISTEN TAN CRNA
Individual
Nurse Anesthetist, Certified Registered9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 548-5200
1548821366 CARISSA BELLE BRASWELL PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2100
1750967774 COURTNEY PAIGE SHEETS PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2100
1568176634MR. DARWIN DE JESUS RAMIREZ RAMIREZ PA-C
Individual
Physician Assistant9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2100
1093169278DR. RICHARD RANDALL MCKNIGHT JR. MD
Individual
Orthopaedic Surgery9848 N TRYON ST
CHARLOTTE, NC 28262
(704) 323-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144652330, enumerated in the NPI registry as an "organization" on July 30, 2013

The provider is located at 9848 N Tryon St Suite 200 Charlotte, Nc 28262 and the phone number is (704) 548-5200

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Correction of bunion, Correction of toe joint deformity, Fusion of big toe at joint with foot, Incision or partial removal of foot bone (other than big toe) to straighten toe, Partial removal of collar bone at shoulder using an endoscope, Reconstruction of soft tissue angular deformity of toe, Release and/or relocation of elbow nerve, Release and/or relocation of hand nerve, Release of tendon connecting biceps muscle and shoulder using an endoscope, Removal of bone joints between wrist and fingers, Removal of both knee cartilages using an endoscope, Removal of extensive shoulder joint tissue using an endoscope, Removal of knee cartilage using an endoscope, Repair of shoulder rotator cuff using an endoscope, Replacement of knee joint, both sides of knee and Transfer of tendon to back of hand.

This NPI record was last updated on July 30, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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