Surgical Specialists of Colorado PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

47517 Issued in CO

Legal business name

SURGICAL SPECIALISTS OF COLORADO PLLC

Practice address

10103 Ridgegate Pkwy Ste 211
Lone Tree, CO 80124-5525

Phone

(720) 820-9455

Fax

(303) 736-4226

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jacquelyn Kay Glenn, MDNPI 1831272822

Title

Owner

Phone

(720) 820-9455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caraid Corporation Other name

Locations

Practitioners 1

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

• Jacquelyn Kay Glenn, MD

  • Surgery Physician
  • Lone Tree, CO
  • NPI 1831272822
  NPD Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1689042939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 211",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-820-9455",
            "fax_number": "303-736-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 211",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-820-9455",
            "fax_number": "303-736-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-820-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "47517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171312",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caraid Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Sumpter, DO
• Alexis Sunshine
• Surgical Expertise PC
• Surgical Prospects, P.C.
• Surgical Specialists of Colorado PLLC
• Surgone, PC
• Eric S Surrey, M.D.
• Shawn A Susser, PA
• Anmarie Sutton
• William Basil Swad, PA

• Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.