North Care ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH CARE ASC, LLC

Practice address

6071 E Woodmen Rd
Suite 352
Colorado Springs, CO 80923-2607

Phone

(719) 531-7007

Fax

(719) 531-7122

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey A Moody, MD

Title

Ceo, President

Phone

(719) 210-8818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

North Care ASC LLCCCN 06C0001158

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

Member of 2

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

• Colorado Springs Urological Associates LLC

  • Urology Physician
  • Colorado Springs, CO
  • NPI 1356305114

  Member Of

  NPD member
• Uropartners, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pleasant Prairie, WI
  • NPI 1740033547

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary M Kirsh, MD

  • Urology Physician
  • Blue Ash, OH
  • NPI 1770525073
  NPD
• Gary William Bong, MD

  • Urology Physician
  • Colorado Springs, CO
  • NPI 1093896144
  NPD (past)
• Brandon Repko, M.D.

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
  • NPI 1164649448
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1437501145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 352",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-531-9794",
            "fax_number": "719-531-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 352",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-531-7007",
            "fax_number": "719-531-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CARE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "719-210-8818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Norris, DPT
• Robyn Norris
• Sarah Norris
• Summer Norris, PHARMD
• North Academy Dental Partners Prof LLP
• North Colorado Springs Dialysis LLC
• North Colorado Springs Foot Clinic
• North Colorado Springs Senior Care, LLC
• North End Dental, PLLC
• North Family Counseling, P.C.

• 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 Jan 24, 2019; 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.