Organization Active NPI

Parkside Gi Surgicenter, LLC

Doing business as Parkside Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Conroe, TX
National Provider Identifier
1518841071
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARKSIDE GI SURGICENTER, LLC
Doing business as
Parkside Surgery Center
Practice address
690 S Loop 336 W Ste 130
Conroe, TX 77304-3330
Phone
(936) 760-7660
NPI assigned
Aug 5, 2025
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

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

Addresses

Primary practice location

690 S Loop 336 W Ste 130
Conroe, TX 77304-3330

Mailing address

690 S Loop 336 W Ste 130
Conroe, TX 77304-3330
Phone (936) 760-7660

Other names 1

  • Parkside Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022000015 TX Part B Supplier - Ambulatory Surgical Center 2567950611 Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

690 S Loop 336 W
Ste 130
Conroe, TX 77304
Phone (936) 232-9646

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1518841071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 130",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043330",
            "telephone_number": "936-760-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 130",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043330",
            "telephone_number": "936-760-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE GI SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.