Organization Active NPI

Colorado Surgical Affiliates, LLC

Doing business as Urological Associates of Western Colorado

  • Urology Physician
  • Grand Junction, CO
National Provider Identifier
1720744568
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
COLORADO SURGICAL AFFILIATES, LLC
Doing business as
Urological Associates of Western Colorado
Practice address
2373 G Rd Ste 200
Grand Junction, CO 81505-1006
Phone
(970) 243-3061
Fax
(970) 245-8369
NPI assigned
Nov 16, 2021
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO SURGICAL AFFILIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Jacqueline S Nestle
Title
Revenue Cycle Director
Phone
(970) 244-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2373 G Rd Ste 200
Grand Junction, CO 81505-1006

Mailing address

2373 G Rd Ste 200
Grand Junction, CO 81505-1006
Phone (970) 243-3061

Other names 1

  • Urological Associates of Western Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Co Surgical Affiliates LLC4 organizations share this tax ID, including this one
Part of
Co Surgical Affiliates LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1720744568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SURGICAL AFFILIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO SURGICAL AFFILIATES, LLC",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "NESTLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "970-244-5945"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urological Associates of Western Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

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