Organization Active NPI

Arkansas Valley Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Canon City, CO
National Provider Identifier
1255495990
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
162 Issued in CO
Legal business name
ARKANSAS VALLEY SURGERY CENTER
Practice address
933 Sells Ave
Suite B
Canon City, CO 81212-4900
Phone
(719) 275-6433
Fax
(719) 275-7009
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Eric C Carlson, M.D.
Title
Treasurer
Phone
(719) 275-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 162 CO Primary

Addresses

Primary practice location

933 Sells Ave
Suite B
Canon City, CO 81212-4900

Mailing address

933 Sells Ave
Suite B
Canon City, CO 81212-4900
Phone (719) 275-6433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1255495990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 SELLS AVE",
            "address_2": "SUITE B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124900",
            "telephone_number": "719-275-6433",
            "fax_number": "719-275-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SELLS AVE",
            "address_2": "SUITE B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124900",
            "telephone_number": "719-275-6433",
            "fax_number": "719-275-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VALLEY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "719-275-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.