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PARKSIDE SURGERY CENTER, LLC
NPI 1790174274
Clinic/Center - Ambulatory Surgical in Conroe, TX

Active since January 21, 2015CLIA 45D2100118 · Waiver
690 S LOOP 336 W, SUITE 130, CONROE, TX 77304(936) 760-7660(936) 760-7661 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkside Surgery Center, Llc NPPES

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

PARKSIDE SURGERY CENTER, LLC (NPI 1790174274) is a healthcare organization registered as an ambulatory surgical in Conroe, Texas and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Nelson Atembe Tajong, President, as its authorized official.

NPPES Registry Identity

NPI1790174274
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARKSIDE SURGERY CENTER, LLC
Location Address690 S LOOP 336 W, SUITE 130Conroe, TX 77304-3319
Mailing Address690 S Loop 336 W, Suite 130Conroe, TX 77304-3319 · (936) 760-7660 · Fax (936) 760-7661
Phone(936) 760-7660
Fax(936) 760-7661
Organization SubpartNo
Authorized OfficialNelson Atembe TajongPresident · (936) 760-7660
Enumeration DateJanuary 21, 2015
Last NPPES UpdateFebruary 4, 2016
✔ NPI 1790174274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
690 S LOOP 336 W, Conroe, TX 77304
Open in Google Maps ↗

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 45D2100118

Parkside Surgery Center · Conroe, TX
Active · expires Aug 6, 2027
CLIA Number45D2100118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorNelson A. Tajong
Laboratory Phone(936) 760-7660
Laboratory LocationParkside Surgery Center690 South Loop 336 W, Suite 130, Conroe, TX 77304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
201 services196 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
182 services182 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
116 services115 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
70 services69 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
39 services39 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
23 services23 patients

Other Providers at the Same Location NPPES 20

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

VIVIAN NOWAZEK PHD, MSN, RN, FNP-BC
Nurse Practitioner (Family)
690 S LOOP 336 W, STE 200
CONROE, TX 77304
Montgomery County (936) 525-3600
DR. SAMANTHA LOREL HINDS-CAMPA
Family Medicine
690 S LOOP 336 W, STE 222
CONROE, TX 77304
Montgomery County (936) 756-6661
DR. JASON BISCAMP M.D.
Family Medicine
690 S LOOP 336 W, 3RD FLOOR
CONROE, TX 77304
Montgomery County (936) 522-4000
MRS. ROBIN M BULL PA-C
Physician Assistant
690 S LOOP 336 W
CONROE, TX 77304
Montgomery County (713) 442-6661
DR. JACK PIENIAZEK DO
Family Medicine
690 S LOOP 336 W, STE 222
CONROE, TX 77304
Montgomery County (936) 756-6661
DR. CHRISTOPHER C CHAPMAN MD
Family Medicine
690 S LOOP 336 W, STE 222
CONROE, TX 77304
Montgomery County (936) 756-6661
DR. STEVEN LEON GATES D.O.
Internal Medicine (Geriatric Medicine)
690 S LOOP 336 W, STE 200
CONROE, TX 77304
Montgomery County (936) 525-3600
KERA C APARICIO DDS
Dentist (General Practice)
690 S LOOP 336 W
CONROE, TX 77304
Montgomery County (713) 791-1414

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 Parkside Surgery Center, LLC's NPI number?

The NPI number for Parkside Surgery Center, LLC is 1790174274. It was assigned to this organization in the NPPES registry on January 21, 2015.

Where is Parkside Surgery Center, LLC located?

Parkside Surgery Center, LLC is located at 690 S Loop 336 W Suite 130, Conroe, TX 77304. The listed phone number is (936) 760-7660.

What is Parkside Surgery Center, LLC's specialty?

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

Does Parkside Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2100118) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Parkside 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 3 other insurers list Parkside 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 Parkside Surgery Center, LLC was last updated on February 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.