SDG Castle Rock Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SDG CASTLE ROCK ENDOSCOPY CENTER

Practice address

3911 Ambrosia St # 200
Castle Rock, CO 80109-3820

Phone

(303) 788-8888

Fax

(303) 788-6452

NPI assigned

Jan 9, 2018

Organization subpart

Yes

Parent organization

SDG HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Dr. Richard M Roman, MDNPI 1972616399

Title

President, Physician

Phone

(303) 788-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

SDG Castle Rock Endoscopy CenterCCN 06C0001165

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Richard M Roman, M.D

  • Gastroenterology Physician
  • Englewood, CO
  • NPI 1972616399
  NPD Authorized official
• David M Scheider, M.D

  • Gastroenterology Physician
  • Lone Tree, CO
  • NPI 1538273776
  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1306353586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INVERNESS DR E STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125612",
            "telephone_number": "303-788-8888",
            "fax_number": "303-768-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST # 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093820",
            "telephone_number": "303-788-8888",
            "fax_number": "303-788-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDG CASTLE ROCK ENDOSCOPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDG HOLDINGS, INC.",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "303-788-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Albert Schumann, M.D.
• Chelsie Schuster
• Ron George Schwenkler II, M.A.
• Scltdi JV, LLC
• Kristen Nicole Scogin, MD
• Evelyn Alice Sdrulla, PA-C
• Natalie Seebohar
• Select Physical Therapy Holdings, Inc.
• Serenity at Woodlands
• Serovax

• Ambulatory Surgical Clinic/Center in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.