Organization Active NPI

GS Campus ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, CO
National Provider Identifier
1790320612
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GS CAMPUS ASC, LLC
Practice address
Lafayette Surgery Center
340 Exempla Circle, Suite #400
Lafayette, CO 80026
Phone
(832) 472-2028
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Kristine L Bergman
Title
Director of Operations
Phone
(303) 910-1398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

Lafayette Surgery Center
340 Exempla Circle, Suite #400
Lafayette, CO 80026

Mailing address

Lafayette Surgery Center
340 Exempla Circle, Suite #400
Lafayette, CO 80026
Phone (720) 673-8188

Other names 1

  • Lafayette Surgery Center Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
GS Campus ASC Dba Lafayette Surgery CenterCCN 06C0001181
Medicare certification status
Terminated Voluntary: merger or closure, Feb 1, 2025From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1790320612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAFAYETTE SURGERY CENTER",
            "address_2": "340 EXEMPLA CIRCLE, SUITE #400",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "720-673-8188",
            "fax_number": "720-501-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAFAYETTE SURGERY CENTER",
            "address_2": "340 EXEMPLA CIRCLE, SUITE #400",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "832-472-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS CAMPUS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-910-1398"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lafayette Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.