Ocr Fort Collins ASC & CCC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OCR FORT COLLINS ASC & CCC, LLC

Practice address

2500 E Prospect Rd
Fort Collins, CO 80525-9718

Phone

(970) 493-4010

Fax

(970) 419-7151

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Jacob Tramp-Johnson

Title

Director of Revenue Cycle

Phone

(970) 419-7041

Specialties & licenses 1

Addresses

Other names 2

• OCR Fort Collins Recovery Center Doing business as
• OCR Fort Collins Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Poudre Valley Health Care Inc

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857

  Member Of

  NPD member

Locations

Practitioners 1

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

• Amber Marie Vance, NP

  • Acute Care Nurse Practitioner
  • Fort Collins, CO
  • NPI 1679878409
  NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1740862606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-4010",
            "fax_number": "970-419-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-4010",
            "fax_number": "970-419-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCR FORT COLLINS ASC & CCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "TRAMP-JOHNSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "970-419-7041"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCR Fort Collins Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCR Fort Collins Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Ocampo, RBT
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest P.a.
• Lisa Renee Oceguera-Nelson, LCSW, ACS
• Naomi Ochoa, CMT
• Carter Simon Odean, DO
• Rochelle Odom, LCSW
• Jason T Offen
• Gamlet Oganesean
• Hayley Oggel, ATR, LPCC

• Ambulatory Surgical Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, 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 Nov 12, 2024; 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.