Active NPI
Premier Emergency Surgeons PC
- Surgery Physician
- Littleton, CO
National Provider Identifier
1184262115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PREMIER EMERGENCY SURGEONS PC
- Practice address
- 7780 S Broadway Ste 250
Littleton, CO 80122-2633 - Phone
- (303) 795-3375
- Fax
- (303) 795-0621
- NPI assigned
- Dec 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crea Fusco, MD
- Title
- Owner/President
- Phone
- (303) 795-3375
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7780 S Broadway Ste 250
Littleton, CO 80122-2633
Mailing address
7780 S Broadway Ste 250
Littleton, CO 80122-2633
Phone (303) 795-3375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200224002329 | CO | Part B Supplier - Clinic/Group Practice | 6709213168 |
Receives reassigned benefits from 10 practitioners Practice locations: Littleton, CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Colorado Springs, CO
- NPI 1174512347
CO, Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1184262115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7780 S BROADWAY STE 250",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222633",
"telephone_number": "303-795-3375",
"fax_number": "303-795-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7780 S BROADWAY STE 250",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222633",
"telephone_number": "303-795-3375",
"fax_number": "303-795-0621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EMERGENCY SURGEONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "FUSCO",
"authorized_official_first_name": "CREA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "303-795-3375",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.