Genesis Surgical Assisting LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

GENESIS SURGICAL ASSISTING LLC

Practice address

3758 E 104TH Ave # 102
Thornton, CO 80233-4434

Phone

(308) 440-7991

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dwain Rosse

Title

Owner

Phone

(308) 440-7991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1194201640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 E 104TH AVE # 102",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334434",
            "telephone_number": "308-440-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 E 104TH AVE # 102",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334434",
            "telephone_number": "308-440-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "ROSSE",
        "authorized_official_first_name": "DWAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-7991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M. Geddes
• Diemkieu Thi Geditz, RDH
• Daryl Elizabeth Gedney, LPC, CEAP
• John Michael Gehred, M.D.
• Morgan Geissler, PHARMD
• Genoa Healthcare LLC
• Jeffrey George, MS
• Marie George, CPG
• Doru I.E. Georgescu, M.D.
• Melinda Ann Gerard

• Surgical Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.