Active NPI
Center for Plastic and Aesthetic Surgery, PC
- Plastic and Reconstructive Surgery Physician
- Englewood, CO
National Provider Identifier
1457578668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04023610 | Medicaid | CO | |
| CEJ0908 | Other | CO | GROUP BCBS # |
Other names 1
- Stephen A Goldstein, MD, PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Lone Tree, CO
- NPI 1558302380
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.