Organization Active NPI

Western Surgical Care P.C.

  • Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1033171129
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERN SURGICAL CARE P.C.
Practice address
10103 Ridgegate Pkwy Ste 350
Lone Tree, CO 80124-5525
Phone
(303) 320-7826
Fax
(303) 320-7842
NPI assigned
Apr 4, 2006
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Deseree Thompson
Title
Manager
Phone
(303) 320-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste 350
Lone Tree, CO 80124-5525

Mailing address

10103 Ridgegate Pkwy Ste 350
Lone Tree, CO 80124-5525
Phone (303) 320-7826

Other identifiers 2

IdentifierTypeStateIssuer
01332824MedicaidCO
45972257MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000377 CO Part B Supplier - Clinic/Group Practice 8123919842 Receives reassigned benefits from 4 practitioners
Practice locations: Denver, CO; Lonetree, CO

National Provider Directory

National Provider Directory

Locations

4500 E 9th Ave
#710S
Denver, CO 80220
Phone (303) 320-7826

10103 Ridgegate Pkwy
Ste 350
Lone Tree, CO 80124
Phone (303) 217-5880

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1033171129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 350",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-320-7826",
            "fax_number": "303-320-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 350",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-320-7826",
            "fax_number": "303-320-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SURGICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DESEREE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-320-4502"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01332824",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45972257",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.