Organization Active NPI

Colorado Springs Surgical Associates

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1346215522
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLORADO SPRINGS SURGICAL ASSOCIATES
Practice address
2222 N Nevada Ave
Suite 5017
Colorado Springs, CO 80907-6831
Phone
(719) 635-2501
Fax
(719) 632-1062
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
William C Chambers
Title
Ceo
Phone
(719) 635-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2222 N Nevada Ave
Suite 5017
Colorado Springs, CO 80907-6831

Mailing address

PO Box 29048
MSC # 830
Phoenix, AZ 85038-9048
Phone (719) 635-2501

Other identifiers 2

IdentifierTypeStateIssuer
04006672MedicaidCO
CS6266OtherCORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2222 N Nevada Ave
Ste E5017
Colorado Spgs, CO 80907
Phone (719) 635-2501

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1346215522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29048",
            "address_2": "MSC # 830",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389048",
            "telephone_number": "719-635-2501",
            "fax_number": "719-632-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 5017",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076831",
            "telephone_number": "719-635-2501",
            "fax_number": "719-632-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-635-2501"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006672",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS6266",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.