Active NPI
Western Surgical Group PC
- Surgery Physician
- Steamboat Springs, CO
National Provider Identifier
1710936927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allen T Belshaw
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01369362 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners 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.