Active NPI
Colorado Urologic Surgery Center, LLC
Doing business as Colorado Urologic Surgery Center
- Ambulatory Surgical Clinic/Center
- Northglenn, CO
National Provider Identifier
1083347611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- COLORADO UROLOGIC SURGERY CENTER, LLC
- Doing business as
- Colorado Urologic Surgery Center
- Practice address
- 11900 Grant St Ste 200
Northglenn, CO 80233-1117 - Phone
- (720) 544-6140
- NPI assigned
- Jul 1, 2022
- Last updated
- Sep 18, 2024
- 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
- Christopher Hartshorn
- Title
- Officer/Authorized Official
- Phone
- (314) 800-2017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11900 Grant St Ste 200
Northglenn, CO 80233-1117
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (469) 872-4706
Other names 1
- Colorado Urologic Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2271771 | Colorado Urologic Surgery Center LLC | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Superior, CO
- NPI 1376155440
-
- Ambulatory Surgical Clinic/Center
- Lakewood, CO
- NPI 1922611714
-
dba Colorado Urologic Surgery Center
- Ambulatory Surgical Clinic/Center
- Lone Tree, CO
- NPI 1306421268
Locations
11900 Grant St
Ste 200
Northglenn, CO 80233
Phone (720) 544-6140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1083347611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "469-872-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 GRANT ST STE 200",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331117",
"telephone_number": "720-544-6140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO UROLOGIC SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "HARTSHORN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "314-800-2017"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Colorado Urologic Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Colorado Urologic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northglenn, CO
- Colin Price MD PLLC
- Tristan Collins, DDS
- Colorado Center for Arthritis and Osteoporosis
- Colorado Psychiatry Center, PC
- Colorado Transport (We Care Transport)
- Comfort Dental Group of Northglenn
- Community Advantage, Inc
- Community Advantage, Inc.
- Community Medical Services Montana Private LLC (CMS Northglenn)
- Community Reach Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.