Active NPI
Westlake, LLC
- Surgical Physician Assistant
- Greenwood Village, CO
National Provider Identifier
1003015306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2415
- Legal business name
- WESTLAKE, LLC
- Practice address
- 7800 E Orchard Rd
Suite 100
Greenwood Village, CO 80111-2583 - Phone
- (303) 783-1300
- Fax
- (303) 783-1200
- NPI assigned
- Jul 16, 2007
- Last updated
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Ghiselli, M.D.
- Title
- Owner
- Phone
- (303) 888-7742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2415 | CO | Primary |
Addresses
Primary practice location
7800 E Orchard Rd
Suite 100
Greenwood Village, CO 80111-2583
Mailing address
140 Ivanhoe St
Denver, CO 80220-5840
Phone (303) 888-7742
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery of the Spine Physician
- Greenwood Village, CO
- NPI 1124011606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1003015306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 IVANHOE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802205840",
"telephone_number": "303-888-7742",
"fax_number": "303-783-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 E ORCHARD RD",
"address_2": "SUITE 100",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112583",
"telephone_number": "303-783-1300",
"fax_number": "303-783-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTLAKE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "GHISELLI",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-888-7742",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "2415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.