Pine Surgical Institute

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PINE SURGICAL INSTITUTE

Doing business as

Pine Surgical Institute

Practice address

10375 Park Meadows Dr Ste 150
Lone Tree, CO 80124-6755

Phone

(480) 204-4593

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Brandie Hernandez

Title

Director of Operations

Phone

(480) 204-4593

Specialties & licenses 1

Addresses

Other names 1

• Pine Surgical Institute Doing business as

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1760074744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 PARK MEADOWS DR STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246755",
            "telephone_number": "480-204-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 PARK MEADOWS DR STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246755",
            "telephone_number": "480-204-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-204-4593"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasey Lawrence Pickard, MD
• Erik J Pieramici, M.D
• Ann Marie Pierce, OTR
• Grace Guvernator Pierce, MD
• Pikes Peak Hyperbaric and Wound Care Co
• Timothy Frederick Pingree, M.D.
• Pinnacle Medical Partners LLC (Lone Tree Pediatrics)
• Zachary John Piotrowski, MD
• Matthew Louis Piro, DO
• Amanda Kaye Pittsley, FNP

• Ambulatory Surgical Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, 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 Feb 10, 2021; 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.