Park Meadows Outpatient Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0272 Issued in CO

Legal business name

PARK MEADOWS OUTPATIENT SURGERY, LLC

Practice address

7430 Park Meadows Dr
Suite 300
Lone Tree, CO 80124-2559

Phone

(303) 706-1100

Fax

(303) 790-7322

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anne J Bonn, CMPE

Title

Administrator

Phone

(303) 706-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Park Meadows Outpatient SurgeryCCN 06C0001020

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

Practitioners 2

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

• Christopher Gerald Williams

  • Plastic Surgery Physician
  • Lone Tree, CO
  • NPI 1689711186
  Medicare reassignment NPD
• Jeremy Z Williams, MD

  • Plastic and Reconstructive Surgery Physician
  • Lone Tree, CO
  • NPI 1518035575
  Medicare reassignment NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1669548368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 PARK MEADOWS DR",
            "address_2": "SUITE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242559",
            "telephone_number": "303-706-1100",
            "fax_number": "303-790-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 PARK MEADOWS DR",
            "address_2": "SUITE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242559",
            "telephone_number": "303-706-1100",
            "fax_number": "303-790-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEADOWS OUTPATIENT SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BONN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-706-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panorama Orthopedics & Spine Center, PC (Rocky Mountain Spine and Sport)
• Ximena F Pareja, DDS
• Elise Pariseau
• Park Meadows Anesthesia, LLC
• Park Meadows Cosmetic Surgery, PC
• Park Meadows Vision Associates PLLC
• Park Ridge Surgery Center, LLC (Park Ridge Surgery Center)
• Charles Keyu Park, M.D.
• Hy Gia Young Park, MPH, MS, MD
• Gannon Parker, PA

• Ambulatory Surgical Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, 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 Apr 18, 2019; 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.