MERRITT ISLAND SURGERY CENTER
NPI 1437112455
Clinic/Center - Ambulatory Surgical in Merritt Island, FL

NPI Status: Active since April 10, 2006

Contact Information

220 N SYKES CREEK PKWY
SUITE 101
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 459-0015
Fax: (321) 459-2291

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 10D0907648
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-17-2025

About MERRITT ISLAND SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Merritt Island Surgery Center, a provider established in Merritt Island, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1437112455 assigned on April 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 984 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Merritt Island Surgery Center. The authorized official of this NPI record is Cynthia A Johnson (Administrator)

NPI
1437112455
Provider Legal Name
SPACE COAST SURGICAL CENTER LTD
Other Organization Name
MERRITT ISLAND SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
220 N SYKES CREEK PKWY SUITE 101 MERRITT ISLAND, FL 32953
Location Phone
(321) 459-0015
Location Fax
(321) 459-2291
Mailing Address
220 N SYKES CREEK PKWY SUITE 101 MERRITT ISLAND, FL 32953
Mailing Phone
(321) 459-0015
Mailing Fax
(321) 459-2291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2006
Last Update Date
03-28-2016
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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.
984
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:

  • Gym Access IND Bronze HMO 1340 - HMO
  • Gym Access IND Bronze HMO OA 1211 - HMO
  • Gym Access IND Bronze HMO OA Standard 2450 - HMO
  • Gym Access IND Bronze POS 1042 - POS
  • Gym Access IND Bronze POS BC 3841 - POS
  • Gym Access IND Bronze POS OA 1211 - POS
  • Gym Access IND Bronze POS OA Standard 2450 - POS
  • Gym Access IND Bronze Standardized HMO - HMO
  • Gym Access IND Essential Plus Catastrophic HMO 36 - HMO
  • Gym Access IND Essential Plus Catastrophic POS 37 - POS
  • Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Standard 1828 - HMO
  • Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
  • Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
  • Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
  • Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

CYNTHIA A JOHNSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(321) 459-0015

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
079154700MEDICAID (05)FL 
F1132MEDICARE PIN (08)FL 

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 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 29 times for 20 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This 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 74 times for 37 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 58 times for 40 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 32 times for 16 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 184 times for 123 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 26 times for 21 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 33 times for 16 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 53 times for 52 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 47 times for 40 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 37 times for 36 patients

Removal of deep implant from bone

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

This service was performed 12 times for 11 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 33 times for 33 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 25 times for 25 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0907648
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 18, 2023
Certificate Expiration Date
October 17, 2025
Laboratory Director
PETER HAUGHIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Merritt Island Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1437112455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467214410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 2 + 1 + 4 + 4 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1437112455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386673176DR. HANI H EL KOMMOS MD
Individual
Orthopaedic Surgery220 N SYKES CREEK PKWY #200
MERRITT ISLAND, FL 32953
(321) 459-1446
1598794398DR. LUC TEURLINGS MD
Individual
Orthopaedic Surgery220 N SYKES CREEK PKWY #200
MERRITT ISLAND, FL 32953
(321) 459-1446
1073544607 RONALD B ARMSTRONG P.A.
Individual
Physician Assistant (Medical)220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1750312385DR. HANY F HELMY M.D.
Individual
Orthopaedic Surgery220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1750313607DR. ROBERT SMITH SEDAROS MD
Individual
Orthopaedic Surgery220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1720195357 WARREN CHINYANGANYA
Individual
Physical Therapist220 N SYKES CREEK PKWY
MERRITT ISLAND, FL 32953
(407) 459-0303
1144338021 MONICA JAMES
Individual
Physical Therapist220 N SYKES CREEK PKWY STE 300
MERRITT ISLAND, FL 32953
(321) 459-0303
1265541445 SUSAN WILLARD
Individual
Physical Therapist220 N SYKES CREEK PKWY STE 300
MERRITT ISLAND, FL 32953
(321) 459-0303
1174633895 BRIAN RYE
Individual
Specialist/Technologist (Athletic Trainer)220 N SYKES CREEK PKWY STE 300
MERRITT ISLAND, FL 32953
(321) 459-0303
1548336928 ANTHONY DEVINNEY
Individual
Physical Therapist220 N SYKES CREEK PKWY
MERRITT ISLAND, FL 32953
(321) 459-0303
1538392287MR. JAMES EARL POPPELL JR. MSPT
Individual
Physical Therapist220 N SYKES CREEK PKWY SUITE 300
MERRITT ISLAND, FL 32953
(321) 459-0303
1811900749SPACE COAST ORTHOPAEDIC CENTER PL
Organization
Orthopaedic Surgery220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1649547084ORTHOPEDIC ASSOCIATES, PA
Organization
Orthopaedic Surgery220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1679622336DR. MICHAEL DELK M.D.
Individual
Anesthesiology220 N SYKES CREEK PKWY SUITE 1
MERRITT ISLAND, FL 32953
(321) 784-3700
1689855678 RENEE NICOLE REYNOLDS PTA
Individual
Physical Therapy Assistant220 N SYKES CREEK PKWY SUITE 200
MERRITT ISLAND, FL 32953
(321) 459-1446
1255803631 KRISTINE MARIE ZONKA APRN
Individual
Nurse Practitioner (Family)220 N SYKES CREEK PKWY
MERRITT ISLAND, FL 32953
(321) 361-5534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437112455, enumerated in the NPI registry as an "organization" on April 10, 2006

The provider is located at 220 N Sykes Creek Pkwy Suite 101 Merritt Island, Fl 32953 and the phone number is (321) 459-0015

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

The provider might be accepting Accepts: Florida Health Care Plans, Health First Commercial. 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 toe joint deformity, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Incision of tendon covering of finger, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of substance into lower spine canal using imaging guidance, Injection of substance into middle or upper spine canal using imaging guidance, Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography, Partial removal of collar bone at shoulder using an endoscope, Release and/or relocation of hand nerve, Removal of both knee cartilages using an endoscope, Removal of deep implant from bone, Removal of knee cartilage using an endoscope and Repair of shoulder rotator cuff using an endoscope.

The provider's CLIA number is 10D0907648 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 10, 2006. 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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