Surgical Specialists of Colorado PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR47517 Issued in CO

Legal business name

SURGICAL SPECIALISTS OF COLORADO PLLC

Doing business as

Peak Surgical & Wound Care

Practice address

10103 Ridgegate Pkwy Ste 309
Lone Tree, CO 80124-5525

Phone

(720) 616-7835

Fax

(303) 736-4226

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Jacquelyn Kay GlennNPI 1831272822

Title

Owner/Operator

Phone

(720) 820-9455

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Peak Surgical & Wound Care Doing business as
• Caraid Corporation Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Jacquelyn Kay Glenn, MD

  • Surgery Physician
  • Lone Tree, CO
  • NPI 1831272822
  Medicare reassignment NPD Authorized official
• Alexandria Pisano Peterson, DNP

  • Family Nurse Practitioner
  • Louisville, CO
  • NPI 1235847732
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1487026951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD STE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124048",
            "telephone_number": "720-616-7835",
            "fax_number": "303-736-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 309",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-616-7835",
            "fax_number": "303-736-4226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10103 Ridgegate Pkwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245525",
            "country_code": "US",
            "telephone_number": "720-390-5464",
            "fax_number": "303-736-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 Tracker Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809211006",
            "country_code": "US",
            "telephone_number": "720-616-7835",
            "fax_number": "303-736-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 E Arapahoe Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801124048",
            "country_code": "US",
            "telephone_number": "303-699-3048",
            "fax_number": "303-699-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "720-820-9455"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR47517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171312",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Surgical & Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caraid Corporation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Caraid Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Summit Internal Medicine and Pediatrics, P.C.
• Michael Sumpter, DO
• Alexis Sunshine
• Surgical Expertise PC
• Surgical Prospects, P.C.
• Surgical Specialists of Colorado PLLC
• Surgone, PC
• Eric S Surrey, M.D.
• Shawn A Susser, PA
• Anmarie Sutton

• Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.