Organization Active NPI

Colorado Physician Surgical Asst Inc

  • Surgical Physician Assistant
  • Aurora, CO
National Provider Identifier
1649305343
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
92-102 Issued in CO
Legal business name
COLORADO PHYSICIAN SURGICAL ASST INC
Practice address
1673 S Flanders Way
Aurora, CO 80017-5509
Phone
(720) 748-2888
Fax
(303) 751-1026
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mr. Bobby Lee Fox, CSA
Title
Csa
Phone
(720) 748-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 92-102 CO Primary

Addresses

Primary practice location

1673 S Flanders Way
Aurora, CO 80017-5509

Mailing address

1673 S Flanders Way
Aurora, CO 80017-5509
Phone (720) 748-2888

National Provider Directory

National Provider Directory
Tax ID family
Colorado Physician Surgical Assistance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1649305343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 S FLANDERS WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175509",
            "telephone_number": "720-748-2888",
            "fax_number": "303-751-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 S FLANDERS WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175509",
            "telephone_number": "720-748-2888",
            "fax_number": "303-751-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHYSICIAN SURGICAL ASST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CSA",
        "authorized_official_telephone_number": "720-748-2888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "92-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.