Vail Valley Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VAIL VALLEY SURGERY CENTER, LLC

Doing business as

Vail Valley Surgery Center Edwards

Practice address

320 Beard Creek Road
Suite 100
Edwards, CO 81632

Phone

(970) 476-8872

Fax

(970) 477-8215

NPI assigned

Aug 16, 2011

Last updated

Aug 16, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

VAIL VALLEY SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Laura Baxley, R.N.

Title

Administrator

Phone

(970) 477-8210

Specialties & licenses 1

Addresses

Other names 1

• Vail Valley Surgery Center Edwards Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vail Valley Surgery Center, LLC

  dba Vail Valley Surgery Center Vail

  • Ambulatory Surgical Clinic/Center
  • Vail, CO
  • NPI 1003944125

  O20040302000654

  Same enrollment

Listed as

Vail Valley Surgery Center LLC Dba Vail Valley Surgery Center EdwardsCCN 06C0001134

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

Tax ID family

Vail Valley Surgery2 organizations share this tax ID, including this one

Part of

Vail Valley Surgery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vail Valley Surgery Center, LLC

  dba Vail Valley Surgery Center Vail

  • Ambulatory Surgical Clinic/Center
  • Vail, CO
  • NPI 1003944125
  NPD tax ID

Member of 1

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

• Vail Clinic, Inc.

  dba Howard Head Sports Medicine at Basalt DME

  • Durable Medical Equipment & Medical Supplies
  • Basalt, CO
  • NPI 1215670625

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vail Valley Surgery Center, LLC

  dba Vail Valley Surgery Center Vail

  • Ambulatory Surgical Clinic/Center
  • Vail, CO
  • NPI 1003944125
  NPPES parent name

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1447539861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816581270",
            "telephone_number": "970-476-8872",
            "fax_number": "970-477-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-476-8872",
            "fax_number": "970-477-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL VALLEY SURGERY CENTER, LLC",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "BAXLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-477-8210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Valley Surgery Center Edwards",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vail Summit Orthopaedics
• Vail Valley Ear Nose and Throat Group
• Vail Valley Oral and Maxillofacial Surgery, Professional L.L.C.
• Vail Valley Pharmacy
• Vail Valley Speech Therapy
• Vail Vision PC (Vail Vision)
• Vail-Summit Orthopaedics PC (Vail Summit Orthopaedics and Neurosurgery)
• Valley Surgical
• Dori Vallis, N.D.
• Meredith S Van Ness, LCSW

• Ambulatory Surgical Clinic/Center in Edwards, CO
• Providers in Edwards, 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 Aug 16, 2011; 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.