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Export Provider Record NPI 1366446189
Parkway Surgery Center, Llc.
Organization Subpart: NO
Active
NPI Number1366446189
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Ambulatory Surgical
Provider Details
NPI1366446189
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-06-09
Last Updated2024-09-17
Authorized OfficialEric Boon
Officer / Authorized Official
Phone: 4805670269
Mailing Address100 N Green Valley Pkwy, Ste 125
Henderson, NV 89074-6392
United States
Phone: (702) 616-4954 | Fax: (702) 269-0436
📍 View Map
Primary Practice Address100 N Green Valley Pkwy, Ste 125
Henderson, NV 89074-6392
United States
Phone: (702) 616-4954 | Fax: (702) 269-0436
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNV0046-02011-
Other (non-Medicare)NV10-6133CSHCN
Other (non-Medicare)NV490004254Railroad Medicare
Other (non-Medicare)NVNV1692BCBS
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QA1903X – Clinic/Center, Ambulatory SurgicalNV2147ASC
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About NPI 1366446189

Parkway Surgery Center, Llc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1366446189. The primary specialty listed is Clinic/Center, Ambulatory Surgical. The organization is located in Henderson, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366446189?

NPI 1366446189 belongs to Parkway Surgery Center, Llc., a Clinic/Center, Ambulatory Surgical in Henderson, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366446189 active?

The current status of NPI 1366446189 in the NPPES registry is Active. The record was last updated on 2024-09-17.

What specialty is NPI 1366446189?

NPI 1366446189 is classified under the taxonomy Clinic/Center, Ambulatory Surgical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366446189?

You can verify NPI 1366446189 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366446189?

The primary practice address on file for NPI 1366446189 is 100 N Green Valley Pkwy, Henderson, NV 89074-6392. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366446189 issued?

NPI 1366446189 was first issued (enumerated) on 2005-06-09. The NPPES record was last updated on 2024-09-17.

Practice Location Map

Parkway Surgery Center, Llc. is located at 100 N Green Valley Pkwy, Henderson, NV. Use the map below to find directions or verify the practice location.

📍 100 N Green Valley Pkwy, Henderson, NV 89074-6392  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Parkway Surgery Center, Llc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366446189. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Ambulatory Surgical2147ASCNV
Data Verified from CMS NPPES Last synced: 2026-08-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162