Organization Active NPI

Animas Surgical Hospital, LLC

Doing business as Animas Internal Medicine

  • Internal Medicine Physician
  • Durango, CO
National Provider Identifier
1184178238
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01M130 Issued in CO
Legal business name
ANIMAS SURGICAL HOSPITAL, LLC
Doing business as
Animas Internal Medicine
Practice address
575 Rivergate
Suite 204
Durango, CO 81301-7487
Phone
(970) 403-1340
Fax
(970) 403-1341
NPI assigned
Aug 6, 2016
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01M130 CO Primary

Addresses

Primary practice location

575 Rivergate
Suite 204
Durango, CO 81301-7487

Mailing address

6330 S Western Ave Ste 150
Sioux Falls, SD 57108-3411
Phone (888) 955-0501

Other identifiers 1

IdentifierTypeStateIssuer
01M130OtherCOLICENSE

Other names 1

  • Animas Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831000247 CO Part A Provider - Hospital 0143295428 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durango, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184178238. Details of each certification follow.

Hospital certification: CCN 060117

Legal name
ANIMAS SURGICAL HOSPITAL LLC
Doing business as
ANIMAS SURGICAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 14, 2004
Last certification
Apr 25, 2024
Beds
12
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Oct 24, 2006 in DE
Enrollment address
575 Rivergate Lane
Durango, CO 81301-7487
Main/Primary Hospital Location
Hospital subgroups
Short-term

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Animas Surgical Hospital, LLCCCN 060117 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Animas Surgical Hospital LL6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
SP Holdco I Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Sgry Holdings, LP Organization, Brentwood, TN 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Jennifer B Baldock Individual Corporate OfficerOfficer and Authorized Official Nov 3, 2014
OtherOfficer and Authorized Official Nov 3, 2014
FMR LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Dec 19, 2025 3.99%
SP Management Services Inc Organization, Brentwood, TN Corporation, LLC, Management services company 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Operational/Managerial Control Oct 10, 2005 100%
Bcpe Seminole Holdings, LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Dec 19, 2025 6.02%
Sgry, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Surgery Partners Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Meggin Roberts Individual W-2 Managing Employee Jul 14, 2023
Symbion Ambulatory Resource Centers LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Arc Financial Services LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%
Symbion Holdings LLC Organization, Brentwood, TN Corporation, Holding company 5% Or Greater Indirect Ownership Interest Dec 19, 2025 71.84%
Bcpe Seminole Holdings II Intermediate LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Dec 19, 2025 16.84%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2025 72.57%

Practitioners & affiliated clinicians

Affiliated clinicians 127

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1184178238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 S WESTERN AVE STE 150",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083411",
            "telephone_number": "888-955-0501",
            "fax_number": "605-274-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "address_2": "SUITE 204",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-403-1340",
            "fax_number": "970-403-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMAS SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "01M130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01M130",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Animas Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Animas Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.