Organization Active NPI

Neurological Surgery LTD PC

  • Specialist
  • Denver, CO
National Provider Identifier
1194909515
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23936 Issued in CO
Legal business name
NEUROLOGICAL SURGERY LTD PC
Practice address
2460 W 26TH Ave Ste 220C
Denver, CO 80211-5347
Phone
(303) 455-1803
Fax
(303) 455-2644
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Herbert Ira Fried, MDNPI 1417060419
Title
President
Phone
(303) 455-1803

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23936 CO Primary

Addresses

Primary practice location

2460 W 26TH Ave Ste 220C
Denver, CO 80211-5347

Mailing address

2460 W 26TH Ave Ste 220C
Denver, CO 80211-5347
Phone (303) 455-1803

Other identifiers 1

IdentifierTypeStateIssuer
04984084MedicaidCO

National Provider Directory

National Provider Directory

Locations

2460 W 26th Ave
Ste 220C
Denver, CO 80211
Phone (303) 455-1803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1194909515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 W 26TH AVE STE 220C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115347",
            "telephone_number": "303-455-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 26TH AVE STE 220C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115347",
            "telephone_number": "303-455-1803",
            "fax_number": "303-455-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGERY LTD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-455-1803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "23936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04984084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.