NPIMap

Organization Active NPI

Resilience Surgical LLC

  • Neurological Surgery Physician
  • Englewood, CO
National Provider Identifier
1306385752
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0043126 Issued in CO
Legal business name
RESILIENCE SURGICAL LLC
Practice address
99 Inverness Dr E Ste 100
Englewood, CO 80112-5127
Phone
(303) 577-1939
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Chad Prusmack, MDNPI 1396844346
Title
Managing Partner
Phone
(303) 870-2904

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 0043126 CO Primary

Addresses

Primary practice location

99 Inverness Dr E Ste 100
Englewood, CO 80112-5127

Mailing address

99 Inverness Dr E Ste 100
Englewood, CO 80112-5127
Phone (303) 577-1939

National Provider Directory

National Provider Directory

Locations

99 Inverness Dr E
Ste 100
Englewood, CO 80112
Phone (303) 225-8120

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": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1306385752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 INVERNESS DR E STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125127",
            "telephone_number": "303-577-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 INVERNESS DR E STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125127",
            "telephone_number": "303-577-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "PRUSMACK",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-870-2904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "0043126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.