Colorado Surgical Service PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COLORADO SURGICAL SERVICE PC

Practice address

3455 Lutheran Pkwy Ste 290
Wheat Ridge, CO 80033-6034

Phone

(303) 467-1400

Fax

(303) 467-1467

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Lars Ankersen

Title

Cof

Phone

(720) 996-0780

Specialties & licenses 1

Addresses

Other names 1

• Surgical Specialists of Colorado Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Colorado Surgical Service PC

  • Surgery Physician
  • Westminster, CO
  • NPI 1124634829

  O20040304000186

  Same enrollment
• Colorado Surgical Service PC

  • Surgery Physician
  • Aspen, CO
  • NPI 1124634837

  O20040304000186

  Same enrollment
• Colorado Surgical Service PC

  • Surgery Physician
  • Longmont, CO
  • NPI 1215543913

  O20040304000186

  Same enrollment
• Colorado Surgical Service PC

  • Surgery Physician
  • Basalt, CO
  • NPI 1245837376

  O20040304000186

  Same enrollment
• Colorado Surgical Service PC

  • Surgery Physician
  • Highlands Ranch, CO
  • NPI 1346977865

  O20040304000186

  Same enrollment
• Colorado Surgical Service PC

  • Surgery Physician
  • Golden, CO
  • NPI 1679602593

  O20040304000186

  Same enrollment

Locations

Practitioners 3

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

• Ashley Schermerhorn Bender, PA-C

  • Physician Assistant
  • Wheat Ridge, CO
  • NPI 1013283621
  NPD
• Sarah Miriam Kolnik, M.D.

  • Surgery Physician
  • Golden, CO
  • NPI 1992123418
  NPD
• Arely Mendez Ponce

  • Nurse Practitioner
  • Englewood, CO
  • NPI 1700456282
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1487260915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 401",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334638",
            "telephone_number": "720-996-0780",
            "fax_number": "303-382-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 290",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336034",
            "telephone_number": "303-467-1400",
            "fax_number": "303-467-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SURGICAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "ANKERSEN",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "COF",
        "authorized_official_telephone_number": "720-996-0780"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Specialists of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Pain and Rehab Professional LLC
• Colorado Pain Relief and Wellness Inc
• Colorado Pathology Consultants PC
• Colorado Permanente Medical Group, P.C.
• Colorado Professional Recovery Inc.
• Colorado Surgical Service PC
• Colorado Trauma Services PC
• Colin H Combs, MD
• Chelsea Lauren Comey, LPN
• Commonworks

• Surgery Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.