Organization Active NPI

The Surgery Center at Lone Tree, LLC

  • Ambulatory Surgical Clinic/Center
  • Lone Tree, CO
National Provider Identifier
1386795540
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE SURGERY CENTER AT LONE TREE, LLC
Practice address
8500 Park Meadows Drive
Suite 100
Lone Tree, CO 80124
Phone
(303) 951-7510
Fax
(303) 951-7511
NPI assigned
Jan 15, 2007
Organization subpart
Yes
Parent organization
SPINE ONE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Perry L. Haney, M.D.NPI 1770662959
Title
Managing Member
Phone
(303) 367-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8500 Park Meadows Drive
Suite 100
Lone Tree, CO 80124

Mailing address

8500 Park Meadows Drive
Suite 100
Lone Tree, CO 80124
Phone (303) 951-7510

Other identifiers 2

IdentifierTypeStateIssuer
COB4070OtherMEDICARE PTAN
32744OtherCOSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000571 CO Part B Supplier - Ambulatory Surgical Center 8729170543 Receives reassigned benefits from 2 practitioners
Practice locations: Lone Tree, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Surgery Center at Lone TreeCCN 06C0001121
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1065726Surgery Center at Lone Tree, the8500 Park Meadows Suite 100, Lone Tree, CO 80124Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory
Part of
Spineone PLLC

Member of 1

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

Locations

8500 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 951-7510

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1386795540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-951-7510",
            "fax_number": "303-951-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-951-7510",
            "fax_number": "303-951-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGERY CENTER AT LONE TREE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE ONE, INC.",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-367-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COB4070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "32744",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.