Organization Active NPI

Center of Surgical Specialists, PC

  • Surgery Physician
  • Thornton, CO
National Provider Identifier
1285894634
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTER OF SURGICAL SPECIALISTS, PC
Practice address
9351 Grant St Ste 400
Thornton, CO 80229-4375
Phone
(303) 452-0059
Fax
(303) 452-6501
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Lori Gray
Title
Practice Administrator
Phone
(303) 452-0059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

9351 Grant St Ste 400
Thornton, CO 80229-4375

Mailing address

9351 Grant St Ste 400
Thornton, CO 80229-4375
Phone (303) 452-0059

Other identifiers 1

IdentifierTypeStateIssuer
04014841MedicaidCO

Other names 1

  • Law-Rosenberger-Moore-Georgescu Surgical Associates, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000262 CO Part B Supplier - Clinic/Group Practice 0345403903 Receives reassigned benefits from 1 practitioner
Practice locations: Thornton, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1285894634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 400",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294375",
            "telephone_number": "303-452-0059",
            "fax_number": "303-452-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 400",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294375",
            "telephone_number": "303-452-0059",
            "fax_number": "303-452-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-452-0059"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014841",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Law-Rosenberger-Moore-Georgescu Surgical Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Law-Rosenberger-Moore-Georgescu Surgical Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.