Westlake, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2415 Issued in CO

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

• Lauren Vaughn Welser
• Cynthia Wendling
• James Michael Wernel, PT, DPT
• Elias Werth
• West Side Behavioral Associates LLC
• Hannah Megan Westmoreland, AA-C
• Paul Wexler, M.D.
• Patricia Rea Wharton, LPC
• Kameron Ann Wheelock
• Lori Whisenand

• Surgical Physician Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Surgical Physician Assistant in Colorado

• 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.

Verify at the official NPI Registry.