Organization Active NPI

Surgical Access Specialists LLC

  • Clinic/Center
  • Vail, CO
National Provider Identifier
1629541065
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SURGICAL ACCESS SPECIALISTS LLC
Practice address
180 S Frontage Rd W
Vail, CO 81657-5038
Phone
(720) 425-8212
NPI assigned
Jan 8, 2019
Last updated
Jun 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Authorized official

Name
Zach HartmanNPI 1528358173
Title
Founder
Phone
(720) 425-8212

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

180 S Frontage Rd W
Vail, CO 81657-5038

Mailing address

2153 Grove Cir
Boulder, CO 80302-6608

Other practice location 1

340 Peak One Drive
Frisco, CO 80443-3861
Phone (970) 668-3300

Other practice location 2

940 Central Park Drive Suite 200
Steamboat Springs, CO 80477-3861
Phone (720) 425-8212

Other practice location 3

822 W 4th St
Leadville, CO 80461-3861
Phone (719) 486-0230

Other practice location 4

360 Peak One Dr Ste 350
Frisco, CO 80443-5948
Phone (970) 368-6247

Other names 1

  • Alaska Surgical Associates LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001334 CO Part B Supplier - Clinic/Group Practice 3274874177 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, CO; Leadville, CO; Lone Tree, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687651200000",
    "number": "1629541065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 GROVE CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S FRONTAGE RD W",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575038",
            "telephone_number": "720-425-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Peak One Drive",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804433861",
            "country_code": "US",
            "telephone_number": "970-668-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Central Park Drive Suite 200",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804773861",
            "country_code": "US",
            "telephone_number": "720-425-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Leadville",
            "state": "CO",
            "postal_code": "804613861",
            "country_code": "US",
            "telephone_number": "719-486-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Peak One Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435948",
            "country_code": "US",
            "telephone_number": "970-368-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL ACCESS SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "720-425-8212"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Surgical Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; 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.