Healthone Clinic Services-Surgical Specialties LLC

Organization Active NPI Surgery Physician · Fairplay, CO

NPI 1528670544 · NPPES record last updated Aug 20, 2020

Key facts

NPI
1528670544
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC
Practice address
525 Hathaway Street
Suite 225
Fairplay, CO 80440
Phone
(720) 282-8010
NPI assigned
Aug 20, 2020
Organization subpart
Yes
Parent organization (as reported)
HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC

Authorized official

Name
William M Smitham
Title
Vice President
Phone
(303) 584-8119

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Healthone Clinic Services-Surgical Specialties LLC (80 organizations share this tax ID)
Part of
Healthone Clinic Services-Surgical Specialties LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

525 Hathaway Street
Suite 225
Fairplay, CO 80440

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 372-5426

Other providers in Fairplay, CO

All providers in Fairplay, CO · Surgery Physician in Colorado

Sources for this page

Verify at the official NPI Registry.