Active NPI
Select Surgical Services, LLC
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1467017483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- SELECT SURGICAL SERVICES, LLC
- Practice address
- 1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320 - Phone
- (719) 638-8844
- Fax
- (719) 638-8115
- NPI assigned
- May 6, 2019
- 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
- Jess Thornberry
- Title
- Credentialng
- Phone
- (719) 638-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Mailing address
1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Phone (719) 638-8844
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.
-
- Surgical Physician Assistant
- Colorado Springs, CO
- NPI 1780634154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557100800000",
"number": "1467017483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 N ACADEMY BLVD STE 204",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093320",
"telephone_number": "719-638-8844",
"fax_number": "719-638-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 N ACADEMY BLVD STE 204",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093320",
"telephone_number": "719-638-8844",
"fax_number": "719-638-8115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT SURGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A",
"authorized_official_last_name": "THORNBERRY",
"authorized_official_first_name": "JESS",
"authorized_official_title_or_position": "CREDENTIALNG",
"authorized_official_telephone_number": "719-638-8844"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Select Physical Therapy of Colorado Springs LP (Select Physical Therapy)
- Select Physical Therapy of Colorado Springs LP (Select Physical Therapy)
- Select Physical Therapy of West Denver Limited Partnership (Select Physical Therapy)
- Select Rehabilitation
- Select Specialty Hospital - Colorado Springs Inc
- Sarah Self
- Alex Sellers
- Alfred Sellers, M.D.
- Mark Douglas Sellers, MA, MA, LPC
- Robert Selph
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.