Park Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK AMBULATORY SURGERY CENTER, LLC

Practice address

5055 W Park Blvd Ste 800
Plano, TX 75093-2589

Phone

(214) 299-7010

NPI assigned

Nov 20, 2013

Last updated

Jun 26, 2023By 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

Joshua Helms

Title

Ceo

Phone

(813) 549-2134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922438472. Details of each certification follow.

• CCN 670138 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670138

Legal name

PARK AMBULATORY SURGERY CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, Feb 17, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 3, 2020

Last certification

Apr 3, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

5055 W Park Blvd, Suite 800
Plano, TX 75093

Listed as

Park Ambulatory Surgery CenterCCN 45C0001620

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

Member of 1

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

• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299

  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.

• Rodolfo Gari, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1285697144
  NPD (past)
• Tracie Gari, APRN-C

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1659315190
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1922438472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628774",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328628774",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD STE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932589",
            "telephone_number": "214-299-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrita Parikh, PT
• Ashesh Bakulesh Parikh, D.O.
• Menaka Parikh, PT
• Rushi Rutesh Parikh, D.O.
• Trupti Parikh, PHARMACIST
• Park Central Imaging LLC
• Park Clinic of Manual Medicine, Inc.
• Park Ventura Endoscopy Center, LLC (Digestive Health Center of Plano)
• Park Way Eye Care, PLLC
• David I Park, M.D.

• Ambulatory Surgical Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.