Active NPI
Mountain View Surgical Associates-Summit, PC
- Surgery Physician
- Frisco, CO
National Provider Identifier
1356825848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MOUNTAIN VIEW SURGICAL ASSOCIATES-SUMMIT, PC
- Practice address
- 360 Peak One Dr # 390
Frisco, CO 80443-5948 - Phone
- (303) 805-1855
- Fax
- (303) 805-4421
- NPI assigned
- Sep 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Thoutt
- Title
- Office Administrator
- Phone
- (303) 805-1855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
360 Peak One Dr # 390
Frisco, CO 80443-5948
Mailing address
9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508
Phone (303) 805-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104000703 | CO | Part B Supplier - Clinic/Group Practice | 5890027395 |
Receives reassigned benefits from 1 practitioner Practice locations: Frisco, CO |
National Provider Directory
National Provider DirectoryLocations
360 Peak One Dr
#300
Frisco, CO 80443
Practitioners & affiliated clinicians
Practitioners 3
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": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1356825848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9399 CROWN CREST BLVD STE 220",
"city": "PARKER",
"state": "CO",
"postal_code": "801388508",
"telephone_number": "303-805-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 PEAK ONE DR # 390",
"city": "FRISCO",
"state": "CO",
"postal_code": "804435948",
"telephone_number": "303-805-1855",
"fax_number": "303-805-4421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW SURGICAL ASSOCIATES-SUMMIT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-20",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "THOUTT",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "303-805-1855"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.