PARK AVENUE SURGERY CENTER LLC NPI 1154328508

NPI Information

NPI: 1154328508
Provider Name: PARK AVENUE SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1800 EMERSON ST
#220
DENVER, CO
ZIP 80218
Phone: (303) 468-8844
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PARK AVENUE SURGERY CENTER LLC is an ambulatory surgical clinic center in Denver, CO. PARK AVENUE SURGERY CENTER LLC NPI is 1154328508. The provider is registered as an organization entity type.

The provider's business location address is:

1800 EMERSON ST
#220
DENVER, CO
ZIP 80218-014
Phone: (303) 468-8844
Fax: (303) 468-8850

The provider's authorized official is Jerry Kirk Popham .
The authorized official title is Physician and has the following contact phone number (303) 468-8844.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0471	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0471	OTHER	COLORADO	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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