NPIMap

Organization Active NPI

Front Range Spine and Neurosurgery

  • Neurological Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1730369323
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
42121 Issued in NU
Legal business name
FRONT RANGE SPINE AND NEUROSURGERY
Practice address
10099 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5534
Phone
(303) 947-5838
NPI assigned
Nov 12, 2007
Last updated
Jan 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Michael Rauzzino, M.D.NPI 1902947732
Title
Owner
Phone
(303) 790-1800

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
Neurological Surgery Physician 207T00000X 42121 NU Primary

Addresses

Primary practice location

10099 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5534

Mailing address

10099 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5534
Phone (303) 947-5838

Other identifiers 1

IdentifierTypeStateIssuer
02570866MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050804001154 CO Part B Supplier - Clinic/Group Practice 7214966720 Receives reassigned benefits from 17 practitioners
Practice locations: Aurora, CO; Colorado Springs, CO; Lone Tree, CO
O20180426000369 CO DME Supplier - Physician - Neurosurgery 7214966720 Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Locations

10099 Ridgegate Pkwy
Ste 310
Lone Tree, CO 80124
Phone (303) 790-1800

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1730369323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245534",
            "telephone_number": "303-947-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245534",
            "telephone_number": "303-947-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE SPINE AND NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "RAUZZINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-790-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": "42121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02570866",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.