Black Canyon Surgeons PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38476 Issued in CO

Legal business name

BLACK CANYON SURGEONS PC

Practice address

630 E Star CT
Montrose, CO 81401-6702

Phone

(970) 240-0378

Fax

(970) 240-3072

NPI assigned

Mar 7, 2007

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven J Sawyer, MD

Title

Owner

Phone

(970) 240-0378

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1174654891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016702",
            "telephone_number": "970-240-0378",
            "fax_number": "970-240-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016702",
            "telephone_number": "970-240-0378",
            "fax_number": "970-240-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK CANYON SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-240-0378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "38476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "807610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Louise Beyer, LPC
• Kaitlyn Biernacki, MD
• Stephanie Bivins
• Black Canyon Dental
• Black Canyon Dental, P.C. (Black Canyon Dental)
• Black Canyon Surgical Center, LLC
• Linda Black, RN
• September Black, RDH
• Summer Nichole Blake, LMT
• Heather K Bledsoe, CCC-SLP

• Surgery Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.