Surgery Center of Fort Collins LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1271 Issued in CO

Legal business name

SURGERY CENTER OF FORT COLLINS LLC

Practice address

1100 E Prospect Rd
Fort Collins, CO 80525-5304

Phone

(970) 494-4800

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Judy Sansom

Title

Business Office Manager

Phone

(970) 494-4827

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Poudre Valley Health Care Inc

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857

  Member Of

  NPD member

Practitioners 1

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

• Timothy Craig Wirt, MD

  • Neurological Surgery Physician
  • Fort Collins, CO
  • NPI 1992741839
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1104993799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304",
            "telephone_number": "970-494-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF FORT COLLINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "SANSOM",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "970-494-4827"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95038337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xujing Sun, IOMT
• Jacob Sunder, OTR/L
• Victoria Kristin Sundquist, CNM
• Sunstone Health Associates LLC
• Supportive Connection Counseling, P.L.L.C.
• Surgery Center of Northern Colorado
• Surgical Specialists
• Surviving to Thriving Therapy LLC
• Surviving to Thriving Therapy LLC
• Alexa Susemichel, RBT

• Ambulatory Surgical Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, 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 Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.