PARKWAY SURGERY CENTER LLC (NPI# 1275645574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275645574 |
| 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 | 2006-08-31 |
| Last Update Date | 2013-07-12 |
| Authorized Official Name | ROBERT J LEE (CO MANAGER) |
| Authorized Official Telephone | 2085224409 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1275645574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013278993 | Parkway Surgery Center LLC | Durable Medical Equipment & Medical Supplies | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2012-06-06 |
| Street Address |
1485 PARKWAY DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013278993 | Parkway Surgery Center LLC | Durable Medical Equipment & Medical Supplies | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2012-06-06 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873388 | Mvh Parkway LLC | Clinic/Center | 1485 Parkway Dr, Blackfoot, ID 83221-1667 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835713 | Idaho Endoscopy Center LLC | Clinic/Center | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1467097725 | Center for Surgery Pllc | Clinic/Center | 3369 Merlin Dr Ste A, Idaho Falls, ID 83404-7405 | 2019-11-11 |
| 1831636752 | River View Surgery Center, LLC | Clinic/Center | 1502 Locust St N Ste 100, Twin Falls, ID 83301-4163 | 2017-01-30 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1558733147 | River City Surgical Center | Clinic/Center | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-22 |
| 1821420571 | Upper Valley Surgery Center | Clinic/Center | 256 N 200 E, Rexburg, ID 83440-2048 | 2013-08-05 |
| 1669720397 | Pleasant View Surgery Center, LLC | Clinic/Center | 4171 West Expo Parkway, Post Falls, ID 83854 | 2012-08-28 |
| 1851552483 | Skyline Surgery Center, LLC | Clinic/Center | 285 Vista Dr, Ste C, Pocatello, ID 83201 | 2008-06-17 |
| 1255500427 | Les Bois Surgery Center, LLP | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2008-02-21 |
| 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.