Active NPI
Loveland Surgical Associates
- Specialist
- Loveland, CO
National Provider Identifier
1750460473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LOVELAND SURGICAL ASSOCIATES
- Practice address
- 1900 Boise Ave
#420
Loveland, CO 80538-5004 - Phone
- (970) 669-3212
- Fax
- (970) 669-6162
- NPI assigned
- Nov 3, 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
- Thomas Blomquist, MD
- Title
- Owner/Physician
- Phone
- (970) 669-3212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1900 Boise Ave
#420
Loveland, CO 80538-5004
Mailing address
1900 Boise Ave
#420
Loveland, CO 80538-5004
Phone (970) 669-3212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04011326 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Loveland, CO
- NPI 1669431946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1750460473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BOISE AVE",
"address_2": "#420",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385004",
"telephone_number": "970-669-3212",
"fax_number": "970-669-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BOISE AVE",
"address_2": "#420",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385004",
"telephone_number": "970-669-3212",
"fax_number": "970-669-6162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELAND SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "BLOMQUIST",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "970-669-3212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04011326",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.