PARK RIDGE SURGERY CENTER, LLC
NPI 1245635093
Clinic/Center - Ambulatory Surgical in Lone Tree, CO

NPI Status: Active since October 22, 2014

Contact Information

10450 PARK MEADOWS DR
SUITE 200
LONE TREE, CO
ZIP 80124
Phone: (303) 792-2422
Fax: (303) 649-6769

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 06D2100915
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-24-2027

About PARK RIDGE SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Park Ridge Surgery Center, Llc, a provider established in Lone Tree, Colorado operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245635093 assigned on October 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is David Mcknight (Vp/cfo)

NPI
1245635093
Provider Name
PARK RIDGE SURGERY CENTER, LLC
Entity Type
Organization
Location Address
10450 PARK MEADOWS DR SUITE 200 LONE TREE, CO 80124
Location Phone
(303) 792-2422
Location Fax
(303) 649-6769
Mailing Address
10450 PARK MEADOWS DR STE 200 LONE TREE, CO 80124
Mailing Phone
(303) 792-2422
Mailing Fax
(303) 649-6769
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2014
Last Update Date
06-02-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID MCKNIGHT

Authorized Official Title
VP/CFO
Authorized Official Phone
(972) 789-2816

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete laser vaporization of prostate including control of bleeding using an endoscope

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

This service was performed 17 times for 17 patients

Crushing of stone of ureter with insertion of stent using an endoscope

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

This service was performed 46 times for 43 patients

Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm

This procedure involves breaking down large stones in the bladder into smaller pieces and then removing them. It's performed when stones are too big to pass naturally. The process is safe and helps restore normal bladder function.

This service was performed 11 times for 11 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

This service was performed 13 times for 12 patients

Destruction and/or removal of large growth of bladder using an endoscope

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

This service was performed 13 times for 13 patients

Diagnostic exam of bladder and urethra using an endoscope

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

This service was performed 495 times for 414 patients

Dilation of urethra using an endoscope

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

This service was performed 16 times for 15 patients

Imaging of urinary tract following injection of a contrast agent

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

This service was performed 45 times for 36 patients

Insertion of stent in ureter using an endoscope

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

This service was performed 58 times for 30 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

This service was performed 12 times for 12 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

This service was performed 70 times for 64 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2100915
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 25, 2025
Certificate Expiration Date
August 24, 2027
Laboratory Director
JOHN M. EHRICHS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Ridge Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245635093, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 2 + 3 + 1 + 0 + 0 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1245635093.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
10450 PARK MEADOWS DR, SUITE 103
LONETREE, CO 80124
Physical Therapist
10450 PARK MEADOWS DR, 103
LONE TREE, CO 80124
Neurological Surgery
10450 PARK MEADOWS DR, #202
LONE TREE, CO 80124
Registered Nurse (Medical-Surgical)
10450 PARK MEADOWS DR, SUITE 202
LONE TREE, CO 80124
Dentist (Orthodontics and Dentofacial Orthopedics)
10450 PARK MEADOWS DR
LONETREE, CO 80124
Clinic/Center (Dental)
10450 PARK MEADOWS DR, SUITE 306
LONE TREE, CO 80124
Dentist (Pediatric Dentistry)
10450 PARK MEADOWS DR, #308
LONE TREE, CO 80124
Dentist (Prosthodontics)
10450 PARK MEADOWS DR, SUITE 110
LONE TREE, CO 80124
Dentist (Pediatric Dentistry)
10450 PARK MEADOWS DR, SUITE #308
LONE TREE, CO 80124
Clinic/Center (Ambulatory Surgical)
10450 PARK MEADOWS DR, #200
LONETREE, CO 80124
Radiologic Technologist (Magnetic Resonance Imaging)
10450 PARK MEADOWS DR, #108
LONETREE, CO 80124
Physical Therapist
10450 PARK MEADOWS DR, # 103
LONE TREE, CO 80124
Dentist (General Practice)
10450 PARK MEADOWS DR, SUITE 304
LONE TREE, CO 80124
Nurse Practitioner (Psychiatric/Mental Health)
10450 PARK MEADOWS DR
LONE TREE, CO 80124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245635093, enumerated as an "organization" on October 22, 2014.

The provider is located at 10450 PARK MEADOWS DR SUITE 200 LONE TREE, CO 80124 and the phone number is (303) 792-2422.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.