NPIMap

Organization Active NPI

Advanced Surgical Associates, PC

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1619063245
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED SURGICAL ASSOCIATES, PC
Practice address
1721 E 19TH Ave
Suite 404
Denver, CO 80218
Phone
(303) 861-4505
Fax
(303) 861-9036
NPI assigned
Oct 4, 2006
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Jane Hovanec-Brown
Title
Director of Operations
Phone
(720) 934-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X CO Primary

Addresses

Primary practice location

1721 E 19TH Ave
Suite 404
Denver, CO 80218

Mailing address

1721 E 19TH Ave
Suite 404
Denver, CO 80218
Phone (303) 861-4505

Other identifiers 2

IdentifierTypeStateIssuer
04013579MedicaidCO
THF2808OtherBC/BS GROUP

National Provider Directory

National Provider Directory

Locations

1721 E 19th Ave
Denver, CO 80218
Phone (303) 754-4800

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1619063245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE",
            "address_2": "SUITE 404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80218",
            "telephone_number": "303-861-4505",
            "fax_number": "303-861-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE",
            "address_2": "SUITE 404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80218",
            "telephone_number": "303-861-4505",
            "fax_number": "303-861-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HOVANEC-BROWN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-934-2561"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013579",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "THF2808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.