Parkway Surgery Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NO LICENSE REQUIRED Issued in ID

Legal business name

PARKWAY SURGERY CENTER LLC

Practice address

1485 Parkway Dr
Blackfoot, ID 83221-1667

Phone

(208) 785-5100

Fax

(208) 785-5112

NPI assigned

Jun 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert J Lee, M.D.NPI 1710985551

Title

Co-Manager

Phone

(208) 785-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Jensen Lee, M.D.

  • Orthopaedic Surgery Physician
  • Worland, WY
  • NPI 1710985551
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1013278993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-5100",
            "fax_number": "208-785-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-5100",
            "fax_number": "208-785-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "208-785-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "NO LICENSE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275645574",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Stanley Packer, BS
• Packham Insurance Agency
• Palma Family Practice LLC
• Catlin A Palmer, LCSW
• Kelly Page Palmer, D.O.
• Parkway Surgery Center LLC
• Julene M Parson
• Roshan S Patel, M.D.
• Peak Family Medicine, LLC
• McKenna Peck

• Durable Medical Equipment & Medical Supplies in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.