Active NPI
Animas Surgical Hospital, LLC
Doing business as Animas Internal Medicine
- Internal Medicine Physician
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01M130
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01M130 | Other | CO | LICENSE |
Other names 1
- Animas Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Oct 24, 2006 in DE
- Enrollment address
- 575 Rivergate Lane
Durango, CO 81301-7487 - 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.
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
O20040831000247
-
dba Animas Occupational Medicine
- Occupational Medicine Physician
- Durango, CO
- NPI 1497071435
O20040831000247
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
O20040831000247
Care Compare: Hospital
Medicare Care Compare- Listed as
- Animas Surgical Hospital, LLC
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Animas Surgical Hospital LL
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Animas Orthopedics
- Orthopaedic Surgery Physician
- Durango, CO
- NPI 1104782614
-
- Community Health Clinic/Center
- Durango, CO
- NPI 1174117394
-
dba Animas Family Medicine
- Family Medicine Physician
- Durango, CO
- NPI 1235313693
-
dba Animas Occupational Medicine
- Occupational Medicine Physician
- Durango, CO
- NPI 1497071435
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
Member organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
dba Animas Surgical Center at Escalante
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1548870603
Member Of
-
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1871007880
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| SP Holdco I Inc | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Sgry Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Jennifer B Baldock | Corporate Officer | Nov 3, 2014 | |
| Other | Nov 3, 2014 | ||
| FMR LLC | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 3.99% |
| SP Management Services Inc | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Operational/Managerial Control | Oct 10, 2005 | 100% | |
| Bcpe Seminole Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 6.02% |
| Sgry, LLC | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Surgery Partners Inc | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Meggin Roberts | W-2 Managing Employee | Jul 14, 2023 | |
| Symbion Ambulatory Resource Centers LLC | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Surgery Center Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Arc Financial Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 72.57% |
| Symbion Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 71.84% |
| Bcpe Seminole Holdings II Intermediate LP | 5% Or Greater Indirect Ownership Interest | Dec 19, 2025 | 16.84% |
| Surgery Center Holdings LLC | 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.
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
- Animas Orthopedic Associates
- Animas Orthopedic Associates & Sports Medicine, P.C. (Animas Orthopedic Associates)
- Animas Physical Therapy LLC
- Animas Surgical Hospital, LLC (Animas Orthopedics)
- Animas Surgical Hospital, LLC
- Animas Surgical Hospital, LLC (Animas Urgent Care)
- Animas Surgical Hospital, LLC (Animas Family Medicine)
- Animas Surgical Hospital, LLC (Animas Occupational Medicine)
- Animas Surgical Hospital, LLC (Animas Surgical Hospital)
- Animas Surgical Hospital, LLC (Animas Physician Network)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.