Park Ridge Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK RIDGE SURGERY CENTER, LLC

Doing business as

Park Ridge Surgery Center

Practice address

10450 Park Meadows Dr
Suite 200
Lone Tree, CO 80124-5529

Phone

(303) 792-2422

Fax

(303) 649-6769

NPI assigned

Oct 22, 2014

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 names 1

• Park Ridge Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Park Ridge Surgery Center LLCCCN 06C0001153

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

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1245635093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245528",
            "telephone_number": "303-792-2422",
            "fax_number": "303-649-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-792-2422",
            "fax_number": "303-649-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Pariseau
• Park Meadows Anesthesia, LLC
• Park Meadows Cosmetic Surgery, PC
• Park Meadows Outpatient Surgery, LLC
• Park Meadows Vision Associates PLLC
• Charles Keyu Park, M.D.
• Hy Gia Young Park, MPH, MS, MD
• Gannon Parker, PA
• Parkridge Endodontics, PC
• Parkridge Vision Specialists, PC

• Ambulatory Surgical Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• 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.