Organization Active NPI

Colorado Neurosurgery Associates, P.C.

  • Specialist
  • Denver, CO
National Provider Identifier
1023239092
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24544 Issued in CO
Legal business name
COLORADO NEUROSURGERY ASSOCIATES, P.C.
Practice address
4600 Hale Pkwy
Suite 410
Denver, CO 80220-4020
Phone
(303) 333-8740
Fax
(303) 333-3314
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen H Shogan, M.D.NPI 1801982400
Title
President
Phone
(303) 333-8740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 24544 CO Primary

Addresses

Primary practice location

4600 Hale Pkwy
Suite 410
Denver, CO 80220-4020

Mailing address

4600 Hale Pkwy
#410
Denver, CO 80220-4020
Phone (303) 280-2810

Other identifiers 1

IdentifierTypeStateIssuer
04005369MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1023239092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY",
            "address_2": "#410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204020",
            "telephone_number": "303-280-2810",
            "fax_number": "303-280-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY",
            "address_2": "SUITE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204020",
            "telephone_number": "303-333-8740",
            "fax_number": "303-333-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROSURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SHOGAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-333-8740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "24544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005369",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.