Organization Active NPI

Center for Plastic and Aesthetic Surgery, PC

  • Plastic and Reconstructive Surgery Physician
  • Englewood, CO
National Provider Identifier
1457578668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CENTER FOR PLASTIC AND AESTHETIC SURGERY, PC
Practice address
125 Inverness Dr E
Suite 200
Englewood, CO 80112-5137
Phone
(303) 708-8234
Fax
(303) 649-9694
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debbie Kubik, RN
Title
Practice Administrator
Phone
(303) 708-8234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

125 Inverness Dr E
Suite 200
Englewood, CO 80112-5137

Mailing address

125 Inverness Dr E
Suite 200
Englewood, CO 80112-5137
Phone (303) 708-8234

Other identifiers 2

IdentifierTypeStateIssuer
04023610MedicaidCO
CEJ0908OtherCOGROUP BCBS #

Other names 1

  • Stephen A Goldstein, MD, PC Doing business as

National Provider Directory

National Provider Directory

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457578668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125137",
            "telephone_number": "303-708-8234",
            "fax_number": "303-649-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125137",
            "telephone_number": "303-708-8234",
            "fax_number": "303-649-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PLASTIC AND AESTHETIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBIK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-708-8234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023610",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS #",
            "identifier": "CEJ0908",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen A Goldstein, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.