Mineral Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MINERAL SURGERY CENTER, LLC

Practice address

1501 W Mineral Ave Ste 150
Littleton, CO 80120-5714

Phone

(866) 280-6010

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Erin Malloy

Title

Administrator

Phone

(417) 889-2040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Mineral Surgery Center LLCCCN 06C0001209

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Robert Isaac Fish, M.D.

  • Ophthalmology Physician
  • Littleton, CO
  • NPI 1285707034
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1730875840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205714",
            "telephone_number": "866-280-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Millstein
• Rebecca Milner, LPC
• Brenda Milton, RPH
• Patrick Michael Minaghan, LPC
• Minding My Own Psychological Assessments PLLC
• Mines and Associates, PC
• Nicole Minges, L.AC.
• Kelly Mae Minicucci, DC, FIAMA
• Kristine Minter, P.T.
• Miracle-Ear, Inc.

• Ambulatory Surgical Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.