Organization Active NPI

High Country Surgical Assist

  • Surgical Assistant
  • Littleton, CO
National Provider Identifier
1639311004
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
2703 Issued in CO
Legal business name
HIGH COUNTRY SURGICAL ASSIST
Practice address
7202 Buckingham PL
Littleton, CO 80130-4169
Phone
(281) 462-1285
Fax
(281) 462-1554
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Rodney Gravenor, CSA
Title
President
Phone
(281) 462-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 2703 CO Primary

Addresses

Primary practice location

7202 Buckingham PL
Littleton, CO 80130-4169

Mailing address

7202 Buckingham PL
Littleton, CO 80130-4169
Phone (281) 462-1285

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1639311004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 BUCKINGHAM PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801304169",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 BUCKINGHAM PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801304169",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "GRAVENOR",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-462-1285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.