United Medical Park ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UNITED MEDICAL PARK ASC LLC

Practice address

1731 W Ridgeway Ave
Waterloo, IA 50701-4595

Phone

(319) 833-5858

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Anne Blackwell

Title

Authorized Official

Phone

(205) 824-6250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

United Medical Park ASC LLCCCN 16C0001035

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Rehabilitation Hospital
  • Waterloo, IA
  • NPI 1942584784

  Member Of

  NPD member

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.

• Daniel Kwai Lee, MD

  • Urology Physician
  • Waterloo, IA
  • NPI 1326257346
  NPD (past)
• Benjamin L Torrez, D.O.

  • Orthopaedic Surgery Physician
  • Cedar Falls, IA
  • NPI 1841446382
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1881238632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447060",
            "telephone_number": "205-824-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014595",
            "telephone_number": "319-833-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL PARK ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "LEE ANNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "205-824-6250"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assumpta Grace Twekise, MD
• Laura Ubben, PMHNP-BC
• MD Alal Uddin, M.D
• Ashley Kay Uhlenhopp
• Esther Carol Ulrich, LMHC,, M.A.
• Unitypoint at Home
• Unitypoint at Home
• Unitypoint at Home (UnityPoint Hospice)
• University Chiropractic, P.C.
• Rajani Uppala, MD

• Ambulatory Surgical Clinic/Center in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.