NPIMap

Organization Active NPI

Annest, Synn, Nowak and Mubarak, Prof LLC

  • Vascular Surgery Physician
  • Wheat Ridge, CO
National Provider Identifier
1396570198
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ANNEST, SYNN, NOWAK AND MUBARAK, PROF LLC
Practice address
3970 Youngfield St
Wheat Ridge, CO 80033-3865
Phone
(303) 539-0736
NPI assigned
Sep 3, 2024
Organization subpart
Yes
Parent organization
ANNEST, SYNN, NOWAK AND MUBARAK, PROF LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Desiree Roberts
Title
Office Manager
Phone
(720) 880-7839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

3970 Youngfield St
Wheat Ridge, CO 80033-3865

Mailing address

4105 E Florida Ave Ste 200
Denver, CO 80222-3641

Other names 1

  • Vascular Institute of the Rockies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial Clinic7 organizations share this tax ID, including this one
Part of
Imperial Clinic

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1396570198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "303-539-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEST, SYNN, NOWAK AND MUBARAK, PROF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNEST, SYNN, NOWAK AND MUBARAK, PROF LLC",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-880-7839"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Institute of the Rockies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.