NPIMap

Organization Active NPI

Park Meadows Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Lone Tree, CO
National Provider Identifier
1982914370
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PARK MEADOWS ANESTHESIA, LLC
Practice address
8500 Park Meadows Drive
Suite 100
Lone Tree, CO 80124
Phone
(303) 367-2225
Fax
(303) 343-8702
NPI assigned
Oct 19, 2010
Organization subpart
Yes
Parent organization
SPINE ONE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Perry L. Haney, M.D.
Title
Managing Member
Phone
(303) 367-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X 11717821 CO
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

8500 Park Meadows Drive
Suite 100
Lone Tree, CO 80124

Mailing address

191 University Blvd.
#509
Denver, CO 80206
Phone (303) 367-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000801 CO Part B Supplier - Clinic/Group Practice 5395900518 Receives reassigned benefits from 17 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory
Part of
Spineone PLLC

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1982914370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD.",
            "address_2": "#509",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEADOWS ANESTHESIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE ONE, INC.",
        "enumeration_date": "2010-10-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-367-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "11717821",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.