Active NPI
Lilvia Surgical Assisting, LLC.
- Surgical Physician Assistant
- Johnstown, CO
National Provider Identifier
1760002422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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, 2020
- 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
- Joseph Daniel Timmermeyer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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, and the practitioner matching its NPPES authorized official.
-
- Surgical Physician Assistant
- Johnstown, CO
- NPI 1295396513
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.