Spring Creek Medical Park Outpatient Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0110 Issued in CO

Legal business name

SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC

Doing business as

Spring Creek Surgery Center

Practice address

2001 S Shields St
BLDG F
Fort Collins, CO 80526-1827

Phone

(970) 232-1717

Fax

(970) 488-3950

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jack Burgin

Title

Administrator

Phone

(970) 232-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPRING CREEK SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1508863085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-232-1717",
            "fax_number": "970-488-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-232-1717",
            "fax_number": "970-488-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "BURGIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-232-1717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04510251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRING CREEK SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McKenzie Shea Spresser, PA-C
• Spring Creek Behavioral Health LLC
• Spring Creek Dental PLLC
• Spring Creek Emdr LLC
• Spring Creek Eye Care, PLLC
• Spring Creek Oral & Maxillofacial Surgery P.C. (Blue Sky Oral and Maxillofacial Surgery)
• Hannah Spring
• Springfield Chiropractic LLC
• Tracy Jean Springfield
• Rani Springman, CSW.09930371

• Ambulatory Surgical Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, 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 Feb 22, 2010; 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.