PARKWAY SURGERY CENTER LLC (NPI# 1013278993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013278993 |
| Entity Type | Organization |
| Organization Name | PARKWAY SURGERY CENTER LLC |
| Practice Address |
1485 Parkway Dr Blackfoot ID 83221-1667 |
| Practice Telephone | 2087855100 |
| Practice Fax Number | 2087855112 |
| Mailing Telephone | 2087855100 |
| Mailing Fax Number | 2087855112 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | ROBERT J LEE (CO-MANAGER) |
| Authorized Official Telephone | 2087855100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NO LICENSE REQUI | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1275645574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645574 | Parkway Surgery Center LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-08-31 |
| Street Address |
1485 PARKWAY DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645574 | Parkway Surgery Center LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-08-31 |
| 1659873388 | Mvh Parkway LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2018-03-08 |
| 1801273321 | Brian Blake Purcell | Registered Nurse | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2015-05-05 |
| 1144511452 | Grove City Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2011-04-21 |
| 1063590107 | Blake G Purcell | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-11-02 |
| 1497833537 | Henry M Adams | Nurse Anesthetist, Certified Registered | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366517450 | Orthomedical, Inc | Durable Medical Equipment & Medical Supplies | 373 W Hwy 39, #2, Blackfoot, ID 83221-5228 | 2006-11-22 |
| 1417066952 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 960 West Bridge Street, Blackfoot, ID 83221-1912 | 2006-08-29 |
| 1801813159 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 565 Jensen Grove Dr, Blackfoot, ID 83221-1682 | 2006-07-16 |
| 1790719029 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 90 West Jundicial St, Blackfoot, ID 83221-2715 | 2006-07-11 |
| 1508080557 | R & J Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 69 N Pine St, Blackfoot, ID 83221-2053 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 Ne 10th Ave Ste P1, Payette, ID 83661-5420 | 2020-01-21 |
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.