Organization Active NPI

West Park Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Pinellas Park, FL
National Provider Identifier
1043272750
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST PARK SURGERY CENTER LLC
Practice address
6640 78TH Ave
Suite B
Pinellas Park, FL 33781-2053
Phone
(727) 549-0610
Fax
(727) 518-8662
NPI assigned
Apr 6, 2006
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Tracie GariNPI 1659315190
Title
Chief Administrative Officer
Phone
(813) 549-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

6640 78TH Ave
Suite B
Pinellas Park, FL 33781-2053

Mailing address

PO Box 628781
Orlando, FL 32862-8781
Phone (727) 549-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000054 FL Part B Supplier - Ambulatory Surgical Center 1759325194 Practice locations: Pinellas Park, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043272750. Details of each certification follow.

Hospital certification: CCN 100333

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEST PARK SURGERY CENTER LLC
Certification status
Terminated Voluntary: merger or closure, Feb 13, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Mar 2, 2020
Last certification
Mar 2, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
6640 78TH N Ave, Suite B
Pinellas Park, FL 33781

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Park Surgery CenterCCN 10C0001443
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
10D1034504West Park Surgery Center6640 78TH Ave N Ste B, Pinellas Park, FL 33781Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

6640 78th Ave N
Ste B
Pinellas Park, FL 33781
Phone (727) 518-8660

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1043272750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628781",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328628781",
            "telephone_number": "727-549-0610",
            "fax_number": "727-549-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 78TH AVE",
            "address_2": "SUITE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812053",
            "telephone_number": "727-549-0610",
            "fax_number": "727-518-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.