Organization Active NPI

Lilvia Surgical Assisting, LLC.

  • Surgical Physician Assistant
  • Johnstown, CO
National Provider Identifier
1760002422
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LILVIA SURGICAL ASSISTING, LLC.
Doing business as
LILVIA Surgical Assisting, LLC.
Practice address
324 Fossil Dr
Johnstown, CO 80534-7452
Phone
(719) 321-2622
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Joseph Daniel TimmermeyerNPI 1295396513
Title
Surgical Assistant
Phone
(719) 321-2622

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
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

324 Fossil Dr
Johnstown, CO 80534-7452

Mailing address

324 Fossil Dr
Johnstown, CO 80534-7452
Phone (719) 321-2622

Other names 1

  • LILVIA Surgical Assisting, LLC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1760002422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 FOSSIL DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805347452",
            "telephone_number": "719-321-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 FOSSIL DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805347452",
            "telephone_number": "719-321-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILVIA SURGICAL ASSISTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "TIMMERMEYER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "719-321-2622"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILVIA Surgical Assisting, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.