Craig Holger Andersen, MD
Individual provider Active NPI Surgery Physician · Grand Junction, CO
NPI 1164535340 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1164535340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 34956 (CO)
- Practice address
- 2440 N 11TH St
Grand Junction, CO 81501-8102 - Phone
- (970) 243-0900
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Harvard Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Surgical Affiliates LLC
Grand River Hospital District
Practice addresses (Care Compare)
2440 N 11St St
Grand Junction, CO 81501-8102
Phone (970) 243-0900
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462
Hospital & facility affiliations
- Intermountain Health St. Mary'S Regional Hospital
- Grand River Hospital District
- Montrose Regional Health
- Community Hospital
- Family Health West Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021001220 | CO | Practitioner - General Surgery | 6103019138 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34956 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Hospital and Medical Center, Inc | Current |
Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
| Intermountain Medical Group Grand Junction, LLC | Family Medicine | Current |
Accepting new patients |
| Grand River Hospital District | Current |
Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current |
Accepting new patients | |
| Colorado Surgical Affiliates, LLC | Surgery | Current |
Accepting new patients |
| Colorado Surgical Affiliates, LLC | Current |
Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| Grand River Hospital District | Current | Accepting new patients | |
| Grand River Hospital District | Current |
Accepting new patients |
Locations
300 W Ottley Ave
#W
Fruita, CO 81521
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900
2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100
501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100
Interoperability endpoints
- craigandersen@gswc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34956 | CO | Yes |
Addresses
Primary practice location
2440 N 11TH St
Grand Junction, CO 81501-8102
Mailing address
2440 N 11TH St
Grand Junction, CO 81501-8102
Phone (970) 243-0900
Other practice location 1
300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01349562 | Medicaid | CO |
Other providers in Grand Junction, CO
- Amy Hill Fife Physical Therapy, PC
- Sharon Marene Anable
- Atiera Anders
- Michael Anders
- Arianna M Andersen
- Rachell Lucille Andersen
- Jacqueline Kay Anderson
- Jess Anderson
- Kathleen Marie Anderson
- Kellie Anderson
All providers in Grand Junction, CO · Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.