Day Surgery of Grand Junction LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0526 Issued in CO

Legal business name

DAY SURGERY OF GRAND JUNCTION LLC

Doing business as

Day Surgery of Grand Junction

Practice address

1000 Wellington Ave
Grand Junction, CO 81501-8180

Phone

(970) 245-5989

Fax

(970) 243-9023

NPI assigned

Dec 5, 2006

Last updated

Aug 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Ellison

Title

Ceo

Phone

(720) 273-7449

Specialties & licenses 1

Addresses

Other names 1

• Day Surgery of Grand Junction Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Day Surgery of Grand JunctionCCN 06C0001019

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

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1346308954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "303-800-2078",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180",
            "telephone_number": "970-245-5989",
            "fax_number": "970-243-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY SURGERY OF GRAND JUNCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-273-7449"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Surgery of Grand Junction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Kyle Davis, LPC
• Sandra Davis
• Toni M Davison, P.A.-C
• Nancy J Dawson, BS PHARMACY
• Tilley Dawson
• Kayla Amber Day
• Sarah Lynne Day, LPCC
• DDS Vantage Inc
• Madison De Arman
• Chris De Bruin, LPC

• Ambulatory Surgical Clinic/Center in Grand Junction, CO
• Providers in Grand Junction, 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 Aug 20, 2020; 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.