Organization Active NPI

Western Surgical Group PC

  • Surgery Physician
  • Steamboat Springs, CO
National Provider Identifier
1710936927
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERN SURGICAL GROUP PC
Practice address
940 Central Park Dr
Ste 200
Steamboat Springs, CO 80487
Phone
(970) 870-9240
Fax
(970) 879-6510
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mr. Allen T BelshawNPI 1912956129
Title
Co Owner
Phone
(970) 870-9240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

940 Central Park Dr
Ste 200
Steamboat Springs, CO 80487

Mailing address

940 Central Park Dr
Ste 200
Steamboat Springs, CO 80487
Phone (970) 870-9240

Other identifiers 1

IdentifierTypeStateIssuer
01369362MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923001231 CO Part B Supplier - Clinic/Group Practice 7810965019 Receives reassigned benefits from 1 practitioner
Practice locations: Steamboat Springs, CO

National Provider Directory

National Provider Directory

Practitioners 1

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1710936927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-870-9240",
            "fax_number": "970-879-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-870-9240",
            "fax_number": "970-879-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "BELSHAW",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "970-870-9240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.