BLUE WATER SURGERY CENTER
NPI 1164719209
Clinic/Center - Ambulatory Surgical in Port St Lucie, FL
NPI Status: Active since July 08, 2011
Contact Information
6830 S US HIGHWAY 1
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 873-6700
Fax: (772) 465-5499
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About BLUE WATER SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Blue Water Surgery Center, a provider established in Port St Lucie, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1164719209 assigned on July 2011. The practitioner's primary taxonomy code is 261QA1903X with license number 1570 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Blue Water Surgery Center. The authorized official of this NPI record is Allen Licht (Managing Director)
- NPI
- 1164719209
- Provider Legal Name
- SURGICAL SPECIALISTS OF ST LUCIE
- Other Organization Name
- BLUE WATER SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6830 S US HIGHWAY 1 PORT ST LUCIE, FL 34952
- Location Phone
- (772) 873-6700
- Location Fax
- (772) 465-5499
- Mailing Address
- 12350 NW 39TH ST STE 200 CORAL SPRINGS, FL 33065
- Mailing Phone
- (954) 248-3422
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2011
- Last Update Date
- 06-16-2023
- Code Navigator
Location Map
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.
- 1570
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + 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
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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.
Biopsy of prostate gland
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
This service was performed 51 times for 51 patientsThis procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 14 times for 11 patientsThis procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
This service was performed 18 times for 18 patientsA lower back spinal tap involves inserting a needle into the lower back to collect cerebrospinal fluid. This fluid surrounds your brain and spinal cord. The test helps diagnose conditions like infections or diseases of the nervous system.
This service was performed 12 times for 11 patientsReviews for BLUE WATER SURGERY CENTER
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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. | |||||||||
| 1 | 1 | 6 | 4 | 7 | 1 | 9 | 2 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 14 | 1 | 18 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 4 + 1 + 1 + 8 + 2 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1164719209 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770756256 | EAST COAST ANESTHESIA ASSOCIATES PA Organization | Anesthesiology | 6830 S US HIGHWAY 1 PORT ST LUCIE, FL 34952 (772) 934-6443 |
| 1740235878 | DR. KEITH E INGRAM M.D. Individual | Anesthesiology | 6830 S US HIGHWAY 1 PORT ST LUCIE, FL 34952 (772) 873-6700 |
| 1972163533 | BLUE WATER ANESTHESIA SERVICES Organization | Anesthesiology | 6830 S US HIGHWAY 1 PORT ST LUCIE, FL 34952 (772) 873-6700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164719209, enumerated in the NPI registry as an "organization" on July 08, 2011
The provider is located at 6830 S Us Highway 1 Port St Lucie, Fl 34952 and the phone number is (772) 873-6700
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama and Cigna. 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: Biopsy of prostate gland, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin and Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test.
This NPI record was last updated on July 08, 2011. 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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