Ppna ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PPNA ASC LLC

Practice address

2002 Lelaray St
Suite 100
Colorado Springs, CO 80909-2804

Phone

(719) 799-6401

NPI assigned

Mar 14, 2017

Last updated

Jun 25, 2019By 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

Jeanine Pittman

Title

Authorized Official

Phone

(719) 955-2651

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pikes Peak Nephrology Associates PC

  • Nephrology Physician
  • Colorado Springs, CO
  • NPI 1295335552

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Alexander Flaxenburg, MD

  • Nephrology Physician
  • Colorado Springs, CO
  • NPI 1376589242
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1396286035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY",
            "address_2": "SUITE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 LELARAY ST",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092804",
            "telephone_number": "719-799-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPNA ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-955-2651"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura C Powers, OT
• Matthew Austin Powers, MA, LPC
• Sara Marie Powers, COTA/L
• Grace Marie Pozniak, M.S. CCC-SLP
• PPN Home Dialysis LLC
• Ppsoc PLLC
• Practice 32 LLC
• Practice 32 LLC
• Practitioner House Calls LLC
• Amelia Prado, MD

• Ambulatory Surgical Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, 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 Jun 25, 2019; 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.