NPIMap

Organization Active NPI

Woodland Park Surgical Associates, P.C.

  • Surgery Physician
  • Woodland Park, CO
National Provider Identifier
1801087077
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR-45687 Issued in CO
Legal business name
WOODLAND PARK SURGICAL ASSOCIATES, P.C.
Practice address
16222 Highway 24
Suite 200
Woodland Park, CO 80863
Phone
(719) 686-2810
Fax
(719) 686-2809
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Richard M Malyszek, MDNPI 1891739058
Title
Owner Physician
Phone
(719) 686-2810

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X DR-45687 CO Primary

Addresses

Primary practice location

16222 Highway 24
Suite 200
Woodland Park, CO 80863

Mailing address

16222 W. Hwy 24
Suite 200
Woodland Park, CO 80863-0201
Phone (719) 686-2810

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1801087077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 W. HWY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808630201",
            "telephone_number": "719-686-2810",
            "fax_number": "719-686-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 HIGHWAY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-686-2810",
            "fax_number": "719-686-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PARK SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "MALYSZEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "719-686-2810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR-45687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.