Loveland Surgical Enterprises, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0897 Issued in CO

Legal business name

LOVELAND SURGICAL ENTERPRISES, LLC

Doing business as

Skyline Surgery Center

Practice address

2555 E 13TH St
Suite 200
Loveland, CO 80537-5113

Phone

(970) 999-0240

Fax

(970) 797-1590

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other names 1

• Skyline Surgery Center Doing business as

Listed as

Skyline Surgery CenterCCN 06C0001094

Medicare certification status

ActiveFrom the Provider of Services file

Part of

M E Lee MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

Locations

Practitioners 1

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

• Thomas M Blomquist, MD

  • Surgery Physician
  • Loveland, CO
  • NPI 1215996178
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1649378910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702",
            "telephone_number": "602-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST",
            "address_2": "SUITE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375113",
            "telephone_number": "970-999-0240",
            "fax_number": "970-797-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELAND SURGICAL ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loveland Modern Dentistry, LLP
• Loveland Opco LLC
• Loveland PDC PLLC
• Loveland SNF Operations LLC
• Loveland Surgical Associates
• Loveland Surgicenter, LLC
• Loveland Urgent Care
• Loveland Urologic Associates
• Loveland Vision Prof Co LLC
• Loveland Wholistic Health Center, Inc.

• Ambulatory Surgical Clinic/Center in Loveland, CO
• Providers in Loveland, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.