Mile High Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MILE HIGH SURGICENTER, LLC

Practice address

5351 S Roslyn St Ste 300
Greenwood Village, CO 80111-2134

Phone

(512) 653-4730

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

William Linder

Title

Manager

Phone

(512) 653-4730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Mile High Surgicenter LLCCCN 06C0001173

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 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.

• Andrew W Parker, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1215045133
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1841782539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 S ROSLYN ST STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112134",
            "telephone_number": "512-653-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 S ROSLYN ST STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112134",
            "telephone_number": "512-653-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-653-4730"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mile High Diagnostic Services Inc
• Mile High Family Counseling PLLC
• Mile High Metabolic LLC
• Mile High Sports and Rehabilitation Medicine, PC
• Mile High Surgery Center, LLC
• Carson Widmer Miles, LPC
• Rebecca Miles, RN
• Milestone Pediatric Therapy Services (HealthPRO Pediatrics)
• Milestone Pediatric Therapy Services (HealthPRO Pediatrics)
• Millennium Park Medical Associates Denver Corp

• Ambulatory Surgical Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, 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 May 30, 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.