NPIMap

Organization Active NPI

Surgery Center of Loveland, LLC

Doing business as Loveland Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Loveland, CO
National Provider Identifier
1063595221
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1180 Issued in CO
Legal business name
SURGERY CENTER OF LOVELAND, LLC
Doing business as
Loveland Surgery Center
Practice address
3800 Grant Ave
Loveland, CO 80538-8412
Phone
(970) 622-0608
Fax
(970) 622-0610
NPI assigned
Oct 23, 2006
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Ms. Sonia S Foote, BSN RN
Title
Administrator
Phone
(970) 622-0608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1180 CO Primary
Recovery Care Clinic/Center 261QR0800X 1198 CO

Addresses

Primary practice location

3800 Grant Ave
Loveland, CO 80538-8412

Mailing address

3800 Grant Ave
Loveland, CO 80538-8412
Phone (970) 622-0608

Other identifiers 1

IdentifierTypeStateIssuer
56222025MedicaidCO

Other names 1

  • Loveland Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000541 CO Part B Supplier - Ambulatory Surgical Center 5496985319 Practice locations: Loveland, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Loveland Surgery CenterCCN 06C0001077
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Networks

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1063595221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388412",
            "telephone_number": "970-622-0608",
            "fax_number": "970-622-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388412",
            "telephone_number": "970-622-0608",
            "fax_number": "970-622-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF LOVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-622-0608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1180",
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "CO",
            "license": "1198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56222025",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loveland Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.