Outpatient Surgery Center of Lakewood LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0672 Issued in CO

Legal business name

OUTPATIENT SURGERY CENTER OF LAKEWOOD LP

Practice address

2201 Wadsworth Blvd
Lakewood, CO 80214-5708

Phone

(303) 234-0445

Fax

(303) 232-7182

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Don Liedtke

Title

Vice President

Phone

(615) 344-5507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakewood Surgical Center Doing business as

Member of 1

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

• HCA-Healthone, LLC

  • General Acute Care Hospital
  • Centennial, CO
  • NPI 1396323721

  Member Of

  NPD member

Locations

Practitioners 1

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

• Daniel S Bennett, M.D, DABPM

  • Pain Medicine (Anesthesiology) Physician
  • Golden, CO
  • NPI 1255355467
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1467415950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145708",
            "telephone_number": "303-234-0445",
            "fax_number": "303-232-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145708",
            "telephone_number": "303-234-0445",
            "fax_number": "303-232-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGERY CENTER OF LAKEWOOD LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04510038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvin L Otsuka
• Christopher J Ott, MD
• Scott C Otto, MD
• Rene M Oubre, D.C.
• Our Family Care Home Assisted Living LLC
• Claire Knoll Owens
• Elizabeth Anne Owens, PA-C
• Kristin Owens, MS, LPCC
• Harold L Oxman, MD
• Oxygen Plus Inc

• Ambulatory Surgical Clinic/Center in Lakewood, CO
• Providers in Lakewood, 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 Oct 13, 2008; 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.