Ankeny Medical Park Surgery Center LC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANKENY MEDICAL PARK SURGERY CENTER LC

Practice address

3625 N Ankeny Blvd Ste J
Ankeny, IA 50023-4610

Phone

(515) 965-2200

Fax

(515) 446-2767

NPI assigned

Nov 7, 2018

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas P Mulrooney

Title

Board of Managers Member

Phone

(515) 241-4027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Ankeny Medical Park Surgery CenterCCN 16C0001032

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.

• Central Iowa Hospital Corporation

  dba Blank Health Providers

  • Pediatrics Physician
  • Des Moines, IA
  • NPI 1144309188

  Member Of

  NPD member
• Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
  • NPI 1114783719

  Member Of

  NPD member
• Iowa Digestive Disease Center P.C.

  dba Iowa Digestive Disease Center

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1275571747

  Member Of

  NPD member

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1649748708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 N ANKENY BLVD STE J",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234610",
            "telephone_number": "515-965-2213",
            "fax_number": "515-446-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ANKENY BLVD STE J",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234610",
            "telephone_number": "515-965-2200",
            "fax_number": "515-446-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKENY MEDICAL PARK SURGERY CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "MULROONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BOARD OF MANAGERS MEMBER",
        "authorized_official_telephone_number": "515-241-4027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ankeny Family Dental Center
• Ankeny Family Vision Center PC
• Ankeny Healthcare Enterprises, LLC (dba Sunny View Care Center)
• Ankeny Integrative Health, PLLC
• Ankeny Internal Medicine PC
• Ankeny Physical & Sports Therapy Limited Partnership
• Ankeny Physical & Sports Therapy Limited Partnership
• Ankeny Smiles, LLC
• Annies House
• Mackenzi Annis

• Ambulatory Surgical Clinic/Center in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.