Anthony Fabre, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

13-460 Issued in CO

Practice address

830 Dexter St Apt 9
Denver, CO 80220-4133

Phone

(720) 436-8821

Fax

(720) 550-7231

NPI assigned

Oct 1, 2013

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Mountain Surgical Assisting

  • Surgical Assistant
  • Denver, CO
  • NPI 1801381710
  NPD Authorized official
• Gold Star Surgical Assisting

  • Specialist
  • Denver, CO
  • NPI 1134536378
  Authorized official Same address or phone

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1538596861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 DEXTER ST APT 9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204133",
            "telephone_number": "720-436-8821",
            "fax_number": "720-550-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 DEXTER ST APT 9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204133",
            "telephone_number": "720-436-8821",
            "fax_number": "720-550-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "13-460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Faber, M.D. (5/2014)
• Kellie Jean Faber, FNP-C
• Lily Ann Fabian
• Thomas Fabian, PHD, CNTP
• Tom Paul Fabish, LMT
• Elise Fabricant, LPCC
• Nicholette Michelle Fabrizio, LCSW
• Raymond M Fabrizio, MD
• Mary Elizabeth Faccioli, MSW, LCSW
• Autumn Celia Facktor, NP

• Surgical Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.