Midvalley Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0563 Issued in CO

Legal business name

MIDVALLEY AMBULATORY SURGERY CENTER LLC

Practice address

1450 E Valley Rd
Suite 202
Basalt, CO 81621-8304

Phone

(970) 544-1360

Fax

(970) 544-1387

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Mark I. Purnell, MD

Title

Medical Director

Phone

(970) 544-1360

Specialties & licenses 1

Addresses

Other names 1

• Midvalley Ambulatory Surgery Center Other name

Member of 1

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

• Aspen Valley Hospital District

  dba Snowmass Clinic

  • Clinic/Center
  • Snowmass Village, CO
  • NPI 1710942495

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Lee Purnell, MD

  • Specialist
  • Basalt, CO
  • NPI 1457315566
  NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1376507780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 202",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-544-1360",
            "fax_number": "970-544-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 202",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-544-1360",
            "fax_number": "970-544-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDVALLEY AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "970-544-1360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midvalley Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Lynn McConnell, PA-C
• Martha L McDonald, MSPT
• Megan Verros LCSW LLC
• Marissa P Meinema, OTR/L
• Sarah Jean Melear, D.P.T.
• Midvalley Family Practice PC
• Midvalley Imaging Center LLC
• Midvalley Imaging Center, LLC
• Heidi Mitchell, PTA
• Thomas P Moore, MD

• Ambulatory Surgical Clinic/Center in Basalt, CO
• Providers in Basalt, 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 Oct 6, 2015; 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.