Colorado Surgical Service PC
Organization Active NPI Surgery Physician · Aspen, CO
NPI 1124634837 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1124634837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- COLORADO SURGICAL SERVICE PC
- Practice address
- 401 Castle Creek Rd Ste 2400
Aspen, CO 81611-1159 - Phone
- (970) 429-4267
- Fax
- (970) 429-4312
- NPI assigned
- Sep 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Lars Ankersen
- Title
- Cfo
- Phone
- (720) 996-0780
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000186 | CO | Part B Supplier - Clinic/Group Practice | 7416844311 |
Receives reassigned benefits from 20 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Basalt, CO; Golden, CO; Highlands Ranch, CO; Wheat Ridge, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
401 Castle Creek Rd Ste 2400
Aspen, CO 81611-1159
Mailing address
4350 Wadsworth Blvd Ste 401
Wheat Ridge, CO 80033-4638
Phone (720) 996-0780
Other names
- Surgical Specialists of Colorado
Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.