PARK HILL SURGERY CENTER, LLC
NPI 1093120859
Clinic/Center - Ambulatory Surgical in Fort Worth, TX

Q: What is Park Hill Surgery Center, LLC's NPI number?

The NPI number for Park Hill Surgery Center, LLC is 1093120859. It was assigned to this organization in the NPPES registry on June 30, 2014.

Q: What is Park Hill Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 30, 2014CLIA 45D2086279 · Waiver

3455 LOCKE AVE, STE 100, FORT WORTH, TX 76107(817) 585-1900(817) 585-1899 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park Hill Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK HILL SURGERY CENTER, LLC (NPI 1093120859) is a healthcare organization registered as an ambulatory surgical in Fort Worth, Texas and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Jawad Qureshi, Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1093120859

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePARK HILL SURGERY CENTER, LLC

Location Address3455 LOCKE AVE, STE 100Fort Worth, TX 76107-5745

Mailing Address3455 Locke Ave, Suite 100Fort Worth, TX 76107-5745 · (817) 585-1900 · Fax (817) 585-1899

Phone(817) 585-1900

Fax(817) 585-1899

Organization SubpartNo

Authorized OfficialJawad QureshiBoard Chairman · (817) 773-0293

Enumeration DateJune 30, 2014

Last NPPES UpdateJanuary 26, 2024

NPPES CertifiedJanuary 26, 2024

✔ NPI 1093120859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3455 LOCKE AVE, Fort Worth, TX 76107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2086279

Park Hill Surgery Center, LLC Dba Texas Health Surgery Ctr Park Hill · Fort Worth, TX

Active · expires Oct 29, 2026

CLIA Number45D2086279

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 30, 2024

Certificate Expiration DateOctober 29, 2026

Laboratory DirectorTrevor Patterson

Laboratory Phone(817) 585-1882

Laboratory LocationPark Hill Surgery Center, LLC Dba Texas Health Surgery Ctr Park Hill3455 Locke Avenue, Suite 100, Fort Worth, TX 76107

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

3,591 services17 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

726 services445 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

73 services57 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

63 services32 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

63 services49 patients

Processing, preserving and transporting corneal tissue V2785

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

56 services51 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

50 services45 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

50 services35 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

50 services49 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

39 services29 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

38 services19 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

33 services32 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

28 services15 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

27 services26 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

27 services27 patients

Exam of nose and sinus with removal of nasal sinus using an endoscope 31257

This procedure involves using an endoscope, a thin tube with a light and camera, to examine your nose and sinuses. If necessary, unwanted tissue from the nasal sinus is removed. This can help improve breathing and alleviate sinus issues.

23 services12 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

22 services18 patients

Removal or relocation of corneal conjunctiva with graft 65426

This procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.

16 services16 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

15 services15 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

14 services14 patients

Exchange of prosthetic lens 66986

An exchange of a prosthetic lens involves replacing an artificial lens in your eye. This is often done if the current lens isn't functioning properly or causing discomfort. The procedure involves removing the old lens and inserting a new one, aiming to improve your vision.

13 services11 patients

Removal of joint lining from multiple knee joint compartments using an endoscope 29876

This procedure, called a synovectomy, involves using an endoscope, a small camera, to view your knee joint. The surgeon then removes the inflamed joint lining from several areas of your knee. The goal is to reduce pain and improve joint function.

12 services12 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

11 services11 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTY V. TRIMBLE , MD, P.A

Specialist

3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107

Tarrant County (817) 377-5223

MADELEINE MONET YOUNG CRNA

Nurse Anesthetist, Certified Registered

3455 LOCKE AVE
FORT WORTH, TX 76107

Tarrant County (804) 519-5675

DR. PAUL ANDREW FABELA M.D.

Internal Medicine

3455 LOCKE AVE
FORT WORTH, TX 76107

Tarrant County (817) 336-1189

KATHERINE JOELLA KOONCE FNP-C

Nurse Practitioner (Family)

3455 LOCKE AVE
FORT WORTH, TX 76107

Tarrant County (817) 336-1189

MONTY V TRIMBLE M.D

Specialist

3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107

Tarrant County (817) 529-6200

CHRISTY B STEWART RN,MSN,FNP-BC

Nurse Practitioner (Family)

3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107

Tarrant County (817) 529-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Hill Surgery Center, LLC's NPI number?

The NPI number for Park Hill Surgery Center, LLC is 1093120859. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Park Hill Surgery Center, LLC located?

Park Hill Surgery Center, LLC is located at 3455 Locke Ave Ste 100, Fort Worth, TX 76107. The listed phone number is (817) 585-1900.

What is Park Hill Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Park Hill Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2086279) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Park Hill Surgery Center, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Park Hill Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Hill Surgery Center, LLC was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

About Park Hill Surgery Center, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 45D2086279

Areas of Expertise CMS Part B claims 24

Other Providers at the Same Location NPPES 6

Frequently Asked Questions NPPES & CMS

What is Park Hill Surgery Center, LLC's NPI number?

Where is Park Hill Surgery Center, LLC located?

What is Park Hill Surgery Center, LLC's specialty?

Does Park Hill Surgery Center, LLC hold a CLIA laboratory certificate?

What insurance does Park Hill Surgery Center, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 45D2086279