Organization Active NPI

Front Range Surgical Services, P.C.

  • Surgery Physician
  • Parker, CO
National Provider Identifier
1124104674
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42135 Issued in CO
Legal business name
FRONT RANGE SURGICAL SERVICES, P.C.
Practice address
9397 Crown Crest Blvd
Suite 210
Parker, CO 80138-8575
Phone
(303) 805-9802
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Stephen M Barnes, M.D.NPI 1447267018
Title
Ceo
Phone
(303) 805-9802

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: 193200000X MULTI-SPECIALTY GROUP 208600000X 42135 CO Primary

Addresses

Primary practice location

9397 Crown Crest Blvd
Suite 210
Parker, CO 80138-8575

Mailing address

9397 Crown Crest Blvd
Suite 210
Parker, CO 80138
Phone (303) 805-9802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001299 CO Part B Supplier - Clinic/Group Practice 4183610090 Receives reassigned benefits from 2 practitioners
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Locations

10103 Ridgegate Pkwy
Ste 114
Lone Tree, CO 80124
Phone (303) 799-8890

9397 Crown Crest Blvd
Ste 210
Parker, CO 80138
Phone (303) 805-9802

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1124104674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "address_2": "SUITE 210",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80138",
            "telephone_number": "303-805-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "address_2": "SUITE 210",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388575",
            "telephone_number": "303-805-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE SURGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-805-9802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "42135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.