Organization Active NPI

Parkwest Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Knoxville, TN
National Provider Identifier
1033154851
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000136 Issued in TN
Legal business name
PARKWEST SURGERY CENTER LLC
Practice address
9461 Sherrill Blvd
Knoxville, TN 37932-3603
Phone
(865) 531-0494
Fax
(865) 531-0554
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Shannon L Aiuto
Title
Authorized Official
Phone
(586) 722-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000136 TN Primary

Addresses

Primary practice location

9461 Sherrill Blvd
Knoxville, TN 37932-3603

Mailing address

9461 Sherrill Blvd
Knoxville, TN 37932-3603
Phone (865) 531-0494

Other identifiers 2

IdentifierTypeStateIssuer
490005366OtherTNRAILROAD MEDICARE
3288579MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000271 TN Part B Supplier - Ambulatory Surgical Center 5890968267 Practice locations: Knoxville, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Parkwest Surgery CenterCCN 44C0001112
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1066740Parkwest Surgery Center, LLC9461 Sherrill Blvd, Knoxville, TN 37932Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9430 Park West Blvd
Ste 210
Knoxville, TN 37923
Phone (865) 531-0494

9461 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 531-0494

Networks

  • devoted network organization-5b6e8479-727f-40cf-ba4e-9b59e43aa45e

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1033154851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323603",
            "telephone_number": "865-531-0494",
            "fax_number": "865-531-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323603",
            "telephone_number": "865-531-0494",
            "fax_number": "865-531-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "AIUTO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-722-8111"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005366",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288579",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.