NPIMap

Organization Active NPI

Precision Plastic and Hand Surgery LLC

  • Multi-Specialty Clinic/Center
  • Golden, CO
National Provider Identifier
1508287442
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
51038 Issued in CO
Legal business name
PRECISION PLASTIC AND HAND SURGERY LLC
Practice address
2801 Youngfield St
Suite 371
Golden, CO 80401-2263
Phone
(702) 491-0622
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Christopher Pell Fender, MDNPI 1952311284
Title
President
Phone
(720) 491-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 51038 CO Primary

Addresses

Primary practice location

2801 Youngfield St
Suite 371
Golden, CO 80401-2263

Mailing address

2801 Youngfield St
Suite 371
Golden, CO 80401-2263
Phone (702) 491-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140917000076 CO Part B Supplier - Clinic/Group Practice 1557580909 Receives reassigned benefits from 7 practitioners
Practice locations: Golden, CO

National Provider Directory

National Provider Directory

Locations

2801 Youngfield St
Golden, CO 80401
Phone (720) 322-0311

2801 Youngfield St
Ste 371
Golden, CO 80401
Phone (303) 854-8878

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1508287442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "SUITE 371",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "702-491-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "SUITE 371",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "702-491-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PLASTIC AND HAND SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-491-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CO",
            "license": "51038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.