Idc Operations, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING SURVEY Issued in TX

Legal business name

IDC OPERATIONS, LP

Doing business as

Surgery Center at Park City Medical Complex

Practice address

905 E. Eureka St
Weatherford, TX 76086-5809

Phone

(817) 598-8100

Fax

(817) 598-8101

NPI assigned

Jun 7, 2006

Last updated

Aug 22, 2020By 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

Mr. Michael J. Kwedar

Title

Owner / Cfo

Phone

(817) 921-2667

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center at Park City Medical Complex Doing business as

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.

• Jon Paul Harmer, M.D.

  • Anesthesiology Physician
  • Weatherford, TX
  • NPI 1568422269
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326088832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865809",
            "telephone_number": "817-598-8100",
            "fax_number": "817-598-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E. EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865809",
            "telephone_number": "817-598-8100",
            "fax_number": "817-598-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDC OPERATIONS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWEDAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER / CFO",
        "authorized_official_telephone_number": "817-921-2667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "PENDING SURVEY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Park City Medical Complex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Anne Hull, DO
• Kelly Hunt, PT
• Sarah Murphy Hutcheson, PA-C
• Isabella Kathleen Hutchinson
• Icon Industries of Texas, LLC (Landmark Physicians Group)
• Inner Peace Counseling & Wellness
• Integracare of Texas, LLC (CenterWell Home Health)
• J Steven Welch DO PA
• Asia N Jackson, D.P.M
• Jade Medical, PLLC (TotalCare Emergency)

• Ambulatory Surgical Clinic/Center in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.