Madison Street Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MADISON STREET SURGERY CENTER, LLC

Practice address

55 Madison St
200
Denver, CO 80206-5419

Phone

(303) 388-0599

Fax

(303) 388-9805

NPI assigned

Oct 3, 2006

Last updated

Feb 5, 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

George L Neal

Title

Chief Executive Officer

Phone

(469) 214-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Madison Street Surgery Center LLCCCN 06C0001056

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.

• George Pardos, M.D.

  • Specialist
  • Denver, CO
  • NPI 1528059789
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1326132291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON STREET",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-377-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON ST",
            "address_2": "200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-388-0599",
            "fax_number": "303-388-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON STREET SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548219934",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Dale Counseling and Consulting, LLC
• Madison Street Anesthesia LLC
• Madison Street Company Nurse Practitioner LLC
• Madison Street Provider Network Inc (Omni Eye Specialists)
• Madison Street Provider Network Inc (Omni Eye Specialists)
• Alice Cook Madison, MD
• Bruce Madison, M.D.
• David Seymour Madison, MD
• Stefani Madison, MD
• Valerie Madison

• Ambulatory Surgical Clinic/Center in Denver, CO
• Providers in Denver, 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 Feb 5, 2020; 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.