PARK AVENUE SURGERY CENTER LLC – NPI #1689748758
Clinic/Center

PARK AVENUE SURGERY CENTER LLC is an AHC clinic located in DENVER, CO. NPPES has assigned the NPI number 1689748758 to PARK AVENUE SURGERY CENTER LLC on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 18 years ago on Jun 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK AVENUE SURGERY CENTER LLC below.

NPI Profile for
PARK AVENUE SURGERY CENTER LLC

NPI Number
1689748758
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK AVENUE SURGERY CENTER LLC
Primary location
1800 EMERSON ST
STE 200
DENVER, CO 80218
Phone: (303) 468-8844 Fax: (303) 468-8850
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY POPHAM
PRESIDENT
Phone: (303) 468-8844
Updated
Identifiers

Identifiers for PARK AVENUE SURGERY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO88530221
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CO 0769

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.