Organization Active NPI

Southern Colorado Oculofacial Plastic Surgery Associates PLLC

Doing business as Jones Oculofacial plastics

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1427512375
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
SOUTHERN COLORADO OCULOFACIAL PLASTIC SURGERY ASSOCIATES PLLC
Doing business as
Jones Oculofacial plastics
Practice address
10035 Pearl Pass VW Ste 120
Colorado Springs, CO 80924-8223
Phone
(719) 418-5711
Fax
(719) 418-5778
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Dr. Scott Jones, MDNPI 1730400292
Title
Owner
Phone
(719) 418-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

10035 Pearl Pass VW Ste 120
Colorado Springs, CO 80924-8223

Mailing address

10035 Pearl Pass VW Ste 120
Colorado Springs, CO 80924-8223
Phone (719) 418-5711

Other identifiers 1

IdentifierTypeStateIssuer
036.133554MedicaidCO

Other names 1

  • Jones Oculofacial plastics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190325000980 CO Part B Supplier - Clinic/Group Practice 9335489640 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

10035 Pearl Pass Vw
Ste 120
Colorado Springs, CO 80924
Phone (719) 418-5711

1620 Fortino Blvd
Pueblo, CO 81008
Phone (719) 542-3555

Practitioners & affiliated clinicians

Practitioners 1

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1427512375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 PEARL PASS VW STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248223",
            "telephone_number": "719-418-5711",
            "fax_number": "719-418-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 PEARL PASS VW STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248223",
            "telephone_number": "719-418-5711",
            "fax_number": "719-418-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO OCULOFACIAL PLASTIC SURGERY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-418-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.133554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Oculofacial plastics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jones Oculofacial plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2022; 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.

Verify at the official NPI Registry.