Harvard Park Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1157 Issued in CO

Legal business name

HARVARD PARK SURGERY CENTER, LLC

Doing business as

Harvard Park Surgery Center

Practice address

1000 E. Harvard Ave
Denver, CO 80210-5824

Phone

(303) 778-5773

Fax

(303) 765-3595

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Peter Blach

Title

Officer/Authorized Official

Phone

(314) 800-2017

Specialties & licenses 1

Addresses

Other names 1

• Harvard Park Surgery Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Harvard Park Surgery Center LLCCCN 06C0001110

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Portercare Adventist Health System

  • Sports Medicine (Internal Medicine) Physician
  • Lone Tree, CO
  • NPI 1982213419

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1366559122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E. HARVARD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105824",
            "telephone_number": "303-778-5773",
            "fax_number": "303-765-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. HARVARD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105824",
            "telephone_number": "303-778-5773",
            "fax_number": "303-765-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD PARK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harvard Park Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harvard Park Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvard Avenue Internal Medicine
• Harvard Park Hearing Center
• Harvard Park Internal Medicine Prof LLC
• Harvard Park Medical Associates
• Harvard Park Optical
• Harvest Therapeutic Services LLC
• Paula Mary Harvey Brewick, LCSW, LPN
• Harvey Park Assisted Living LLC
• Megan E Harvey Volmer, PH.D.
• Angela M Harvey, RN

• 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 18, 2025; 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.