CMS-1500 Box 24J / 33a • NPI
1962676304
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QA1903X (CMS 49)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1531 E 32ND STREET, SUITE 6, JOPLIN, MO, 64804-2925
✓ 9-Digit EDI 837 ZIP+4 (64804-2925)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962676304 (32ND STREET SURGERY CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1962676304)
Medicare Beneficiaries
852
Total Billed Services
1,455
Distinct CPT/HCPCS Codes
66
Medicare Allowed Total
$757,092.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
28285 | Correction of toe joint deformity | 26 |
43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 |
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 159 |
43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 98 |
43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 21 |
45378 | Diagnostic exam of large bowel using a flexible endoscope | 45 |
45380 | Biopsy of large bowel using a flexible endoscope | 195 |
45381 | Injection beneath lining of large bowel using a flexible endoscope | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962676304 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 32ND STREET SURGERY CENTER, LLC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QA1903X (Clinic/Center, Ambulatory Surgical) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1531 E 32ND STREET, SUITE 6, JOPLIN, MO, 64804-2925 |
| Practice Telephone / Fax | Tel: (417) 627-9699 | Fax: (417) 627-9602 |
| Administrative Mailing Address | 1A BURTON HILLS BLVD, NASHVILLE, TN, 37215-6187 |
| Enumeration & Last Sync | Enumerated: 2008-04-16 | CMS Record Updated: 2022-05-10 |
| Authorized Official | JEFFREY SNODGRASS (President) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)
What Does Taxonomy Code 261QA1903X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (32ND STREET SURGERY CENTER, LLC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QA1903X — Clinic/Center, Ambulatory SurgicalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: MO | License: 247-0 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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