ASC Lone Tree LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ASC LONE TREE LLC

Doing business as

ICON Surgery Center of Denver

Practice address

10520 El Diente CT
Englewood, CO 80112-2656

Phone

(720) 524-1001

Fax

(720) 524-1121

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Christian Ellison

Title

Ceo

Phone

(720) 273-7449

Specialties & licenses 1

Addresses

Other names 1

• ICON Surgery Center of Denver Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Icon Surgery Center of DenverCCN 06C0001151

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Practitioners 1

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

• Nigenda Griffin, OD

  • Optometrist
  • Arlington, TX
  • NPI 1568071207
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1053711275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "303-800-2078",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 EL DIENTE CT",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122656",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC LONE TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-273-7449"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICON Surgery Center of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reece Arthur, M.ED., BCBA
• Joann Asakawa
• Asarch Surgery Center
• Brynn Asarch
• Richard G Asarch, M.D.
• Ascend Integrative Psychiatry
• Ascent Respiratory Care
• Stephanie Marie Asch, LPC, LAC
• Gianna Ash, BCBA
• Rebekah Ashcraft, RN

• Ambulatory Surgical Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.