PARKWAY SURGERY CENTER LLC. NPI 1366446189

NPI Information

  • NPI: 1366446189
  • Provider Name: PARKWAY SURGERY CENTER, LLC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: PARKWAY SURGERY CENTER
  • CLIA Number: 29D0964476
  • Address: 100 N GREEN VALLEY PKWY
    STE 125
    HENDERSON, NV
    ZIP 89074
  • Phone: (702) 616-4954

Map and Directions

Get Directions

NPI Details

PARKWAY SURGERY CENTER, LLC. is an ambulatory surgical clinic center in Henderson, NV. PARKWAY SURGERY CENTER, LLC. NPI is 1366446189. The provider is registered as an organization entity type.
The provider Other Name Is Parkway Surgery Center.

The provider's business location address is:

100 N GREEN VALLEY PKWY
STE 125
HENDERSON, NV
ZIP 89074-392
Phone: (702) 616-4954
Fax: (702) 269-0436

The provider's authorized official is Eric Boon .
The authorized official title is Officer / Authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 29D0964476 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir (HCPCS:61070)
  • Electronic analysis and reprogramming of spinal canal drug infusion pump (HCPCS:62368)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/17/2024.

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
1261QA1903XClinic/CenterAmbulatory Surgical2147ASCNEVADAYes

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
10046-02011MEDICAIDNEVADA
210-6133OTHERNEVADACSHCN
3NV1692OTHERNEVADABCBS
4490004254OTHERNEVADARAILROAD MEDICARE

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.