Gold Star Surgical Assisting

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GOLD STAR SURGICAL ASSISTING

Practice address

830 Dexter St Apt 9
Denver, CO 80220-4133

Phone

(281) 324-5660

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Anthony Fabre

Title

President

Phone

(281) 324-5660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1134536378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "281-324-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 DEXTER ST APT 9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204133",
            "telephone_number": "281-324-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "FABRE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-324-5660"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golan Integrated Physical Medicine
• Gold Coast Medical Diagnostics Co LLC
• Gold Eagle Systems
• Gold Standard ABA Co LLC
• Gold Star LLC
• Dale C Gold, M.D.
• Stephanie Gold, M.D.
• Maya Goldberg Shannon
• Brynne Goldberg
• Ellice Kay Goldberg, DO

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.