Parkridge Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF-078 Issued in SC

Legal business name

PARKRIDGE SURGERY CENTER LLC

Practice address

190 Parkridge Dr Ste 108
Columbia, SC 29212-1748

Phone

(803) 296-2548

Fax

(803) 296-2548

NPI assigned

Aug 3, 2010

Organization subpart

Yes

Parent organization

PARKRIDGE 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

Emilie M Keene

Title

Administrator

Phone

(803) 407-4950

Specialties & licenses 1

Addresses

Other names 1

• Parkridge Surgery Center LLC CRNA Doing business as

Part of

Parkridge Surgery Center

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1780998633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PARKRIDGE DR STE 108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121748",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARKRIDGE DR STE 108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121748",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKRIDGE SURGERY CENTER  LLC",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-407-4950"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkridge Surgery Center LLC CRNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Eugene Parker, LMSW
• Roxanne Erin Parker
• Sabrina B Parker, OT
• Sonja C. Parker, CRNA
• Emily Parkman, RDN, LD
• Joy Wynetta Parks Cobb
• Parks Medical Transportation
• Pamela Jean Parks Ozaluk, CRNA
• Jamie Hill Parks-Foster, PHARMD
• Amy Parks, RN

• Ambulatory Surgical Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.