The Surgery Center at Park Meadows, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0279 Issued in CO

Legal business name

THE SURGERY CENTER AT PARK MEADOWS, L.L.C.

Practice address

9218 Kimmer Dr
Lone Tree, CO 80124-6732

Phone

(303) 799-6465

Fax

(303) 799-0556

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter J McNally

Title

Administrator

Phone

(303) 799-6465

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

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

• Centura Ventures, LLC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1932731072

  Member Of

  NPD member

Practitioners 1

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

• Edwin R Smith, MD

  • Surgery Physician
  • Littleton, CO
  • NPI 1316035371
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689649451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246733",
            "telephone_number": "303-799-6465",
            "fax_number": "303-799-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246732",
            "telephone_number": "303-799-6465",
            "fax_number": "303-799-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGERY CENTER AT PARK MEADOWS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-799-6465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "668152",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50837737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Graceful Touch Therapeutic Massage
• The Mend Counseling, LLC
• The Mind Store, LLC
• The Movement Pro, LLC
• The Surgery Center at Lone Tree, LLC
• The Therapy Center P.C.
• The Urology Center of Colorado PC
• Theraphysics Partners of Colorado, Inc.
• Lois Ruth Thiessen
• Adele Thomas

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.