Organization Active NPI

Parkwest Surgery Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Pueblo, CO
National Provider Identifier
1871658658
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0150 Issued in CO
Legal business name
PARKWEST SURGERY CENTER, LLC.
Practice address
3676 Parker Blvd
Suite 140
Pueblo, CO 81008-2212
Phone
(719) 253-7032
Fax
(719) 253-7090
NPI assigned
Dec 22, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Michael T. Baxter
Title
Operations Manager
Phone
(719) 253-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0150 CO Primary

Addresses

Primary practice location

3676 Parker Blvd
Suite 140
Pueblo, CO 81008-2212

Mailing address

PO Box 17874
Denver, CO 80217-0874
Phone (719) 253-7032

Other identifiers 1

IdentifierTypeStateIssuer
79103731MedicaidCO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Parkwest Surgery Center LLCCCN 06C0001026
Medicare certification status
Terminated Voluntary: merger or closure, May 2, 2023From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1871658658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17874",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802170874",
            "telephone_number": "719-253-7032",
            "fax_number": "719-253-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-253-7032",
            "fax_number": "719-253-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "719-253-7032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79103731",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.