Surgical Associates of Greeley

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SURGICAL ASSOCIATES OF GREELEY

Practice address

1800 15TH St Ste 210
Greeley, CO 80631-4563

Phone

(970) 352-8216

Fax

(970) 352-5297

NPI assigned

Apr 12, 2007

Last updated

Apr 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason W Ogren, MD

Title

Physician Owner

Phone

(970) 352-8216

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1679797732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 15TH ST STE 210",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314563",
            "telephone_number": "970-352-8216",
            "fax_number": "970-352-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 15TH ST STE 210",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314563",
            "telephone_number": "970-352-8216",
            "fax_number": "970-352-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF GREELEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "OGREN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "970-352-8216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013207",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cole Anthony Surplus
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• Madison Susmilch

• Specialist in Greeley, CO
• Providers in Greeley, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.