Westside Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AHCA895 Issued in FL

Legal business name

WESTSIDE SURGERY CENTER LLC

Doing business as

Parkside Surgery Center

Practice address

2731 Park St
Jacksonville, FL 32205-7607

Phone

(904) 389-1077

Fax

(904) 338-9016

NPI assigned

Apr 7, 2006

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David McKnight

Title

VP/Cfo

Phone

(972) 789-2816

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Parkside Surgery Center Doing business as
• Westside Surgery Center Ltd Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Westside Surgery Center LTDCCN 10C0001162

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

• Thomas R. Virtue, M.D.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1477515583
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1215990627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057607",
            "telephone_number": "904-389-1077",
            "fax_number": "904-338-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057607",
            "telephone_number": "904-389-1077",
            "fax_number": "904-338-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "AHCA895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079187500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Surgery Center Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alyssa Westmeyer
• Andrew Hobson Westmoreland, D.O.
• Jecika Kiyana Weston
• Teshaundria Weston, LMHC, CRC, NCC
• Scott Westra, D.M.D.
• Westwood Manor Residential Care Home LLC
• Mary Westwood
• Malisa Marie Wetmore, PA-C
• Richard Donald Wetmore, M.D.
• Nancy Jane Wetterer, LMT, NCBTMB, CAP

• Ambulatory Surgical Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.