1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Clinic Center
  6. NPI Profile

PARK AVENUE SURGERY CENTER LLC
NPI 1154328508
Clinic/Center - Ambulatory Surgical in Denver, CO

Active since June 30, 2005CLIA 06D1035865 · Waiver
1800 EMERSON ST, #220, DENVER, CO 80218(303) 468-8844(303) 468-8850 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Surgery Center Llc NPPES

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

PARK AVENUE SURGERY CENTER LLC (NPI 1154328508) is a healthcare organization registered as an ambulatory surgical in Denver, Colorado and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Jerry Kirk Popham, Physician, as its authorized official.

NPPES Registry Identity

NPI1154328508
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARK AVENUE SURGERY CENTER LLC
Location Address1800 EMERSON ST, #220Denver, CO 80218-1014
Mailing Address1800 Emerson St, #200Denver, CO 80218-1014 · (303) 468-8844 · Fax (303) 468-8850
Phone(303) 468-8844
Fax(303) 468-8850
Organization SubpartNo
Authorized OfficialJerry Kirk PophamPhysician · (303) 468-8844
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154328508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CO · 0471
1800 EMERSON ST, Denver, CO 80218
Open in Google Maps ↗

Other Identifiers 1

Other0471CO · State License

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 06D1035865

Park Avenue Surgery Center · Denver, CO
Active · expires Jan 12, 2027
CLIA Number06D1035865
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorJerry K. Popham
Laboratory Phone(303) 468-8844
Laboratory LocationPark Avenue Surgery Center1800 Emerson St Suite 220, Denver, CO 80218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JERRY K POPHAM, MD PC
Specialist
1800 EMERSON ST, SUITE 200
DENVER, CO 80218
Denver County (303) 468-8844
MR. JERRY KIRK POPHAM M.D.
Ophthalmology
1800 EMERSON ST, #200
DENVER, CO 80218
Denver County (303) 468-8844
PARK AVENUE SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1800 EMERSON ST, STE 200
DENVER, CO 80218
Denver County (303) 468-8844
GREGORY MICHAEL WHITE MD
Anesthesiology
1800 EMERSON ST, SUITE 200
DENVER, CO 80218
Denver County (303) 468-8844

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 Avenue Surgery Center LLC's NPI number?

The NPI number for Park Avenue Surgery Center LLC is 1154328508. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Park Avenue Surgery Center LLC located?

Park Avenue Surgery Center LLC is located at 1800 Emerson St #220, Denver, CO 80218. The listed phone number is (303) 468-8844.

What is Park Avenue 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 Avenue Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1035865) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Avenue Surgery Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.