NPIMap

Organization Active NPI

Novamed Surgery Center of Denver LLC

  • Certified Registered Nurse Anesthetist
  • Englewood, CO
National Provider Identifier
1639447154
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
NOVAMED SURGERY CENTER OF DENVER LLC
Practice address
3535 S Lafayette St Ste 200
Englewood, CO 80113-3954
Phone
(866) 631-7890
Fax
(303) 282-0266
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3535 S Lafayette St Ste 200
Englewood, CO 80113-3954

Mailing address

3535 S Lafayette St Ste 200
Englewood, CO 80113-3954
Phone (866) 631-7890

Other names 1

  • Cherry Hills Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000322 CO Part B Supplier - Clinic/Group Practice 8022059823 Receives reassigned benefits from 37 practitioners
Practice locations: Englewood, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

6755 Reliable Pkwy
Chicago, IL 60686

333 W Wacker Dr
Ste 1010
Chicago, IL 60606

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1639447154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S LAFAYETTE ST STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133954",
            "telephone_number": "866-631-7890",
            "fax_number": "847-227-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S LAFAYETTE ST STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133954",
            "telephone_number": "866-631-7890",
            "fax_number": "303-282-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

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