Organization Active NPI

Rocky Mountain Advanced Spine Access, PC

  • Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1073979597
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52894 Issued in CO
Legal business name
ROCKY MOUNTAIN ADVANCED SPINE ACCESS, PC
Practice address
10103 Ridgegate Parkway
Suite 207
Lone Tree, CO 80124
Phone
(303) 841-2660
Fax
(303) 841-2966
NPI assigned
Jan 13, 2016
Last updated
Oct 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Dr. Jonathan E Schoeff, MD, FACSNPI 1669673414
Title
Sole Proprietor
Phone
(303) 841-2660

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 52894 CO Primary

Addresses

Primary practice location

10103 Ridgegate Parkway
Suite 207
Lone Tree, CO 80124

Mailing address

PO Box 632290
Littleton, CO 80163
Phone (303) 841-2660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160331001411 CO Part B Supplier - Clinic/Group Practice 6002113370 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO

National Provider Directory

National Provider Directory

Locations

8400 E Prentice Ave
Ste 750
Greenwood Village, CO 80111
Phone (303) 249-5464

Practitioners & affiliated clinicians

Practitioners 1

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1073979597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632290",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80163",
            "telephone_number": "303-841-2660",
            "fax_number": "303-841-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PARKWAY",
            "address_2": "SUITE 207",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-841-2660",
            "fax_number": "303-841-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN ADVANCED SPINE ACCESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHOEFF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-841-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "52894",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2017; 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.