Organization Active NPI

Surgeonaccesssurgeonaccess Inc

  • Case Manager/Care Coordinator
  • Boulder, CO
National Provider Identifier
1114867397
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SURGEONACCESSSURGEONACCESS INC
Practice address
2490 University Heights Ave
Boulder, CO 80302-6814
Phone
(484) 684-5287
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Blaine Warkentine, MD
Title
Ceo
Phone
(484) 684-5287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2490 University Heights Ave
Boulder, CO 80302-6814

Mailing address

2490 University Heights Ave
Boulder, CO 80302-6814
Phone (484) 684-5287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1114867397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 UNIVERSITY HEIGHTS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026814",
            "telephone_number": "484-684-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 UNIVERSITY HEIGHTS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026814",
            "telephone_number": "484-684-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGEONACCESSSURGEONACCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "WARKENTINE",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-684-5287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.