Active NPI
Western Surgical Care P.C.
- Surgery Physician
- Lone Tree, CO
National Provider Identifier
1033171129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2021
- 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
- Deseree Thompson
- Title
- Manager
- Phone
- (303) 320-4502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01332824 | Medicaid | CO | |
| 45972257 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Lone Tree, CO
- NPI 1083144026
-
- Specialist
- Denver, CO
- NPI 1770547663
-
- Surgery Physician
- Lone Tree, CO
- NPI 1679585871
-
- Surgery Physician
- Parker, CO
- NPI 1255317038
-
- Specialist
- Denver, CO
- NPI 1346204682
-
- Colon & Rectal Surgery Physician
- Denver, CO
- NPI 1083678957
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.