Summit Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

28606 Issued in CO

Legal business name

SUMMIT SURGERY CENTER

Practice address

3620 E 15TH St
Loveland, CO 80538-8701

Phone

(970) 669-1107

Fax

(970) 669-8849

NPI assigned

Jun 11, 2014

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Degen Kirk, MDNPI 1255336392

Title

President

Phone

(970) 669-1107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811300403. Details of each certification follow.

• CCN 06C0001152 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 06C0001152

Legal name

SUMMIT SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 4, 2015

Last certification

Jan 19, 2022

Ownership / control type

Proprietary

Facility address

3620 E 15TH St
Loveland, CO 80538

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• John D Kirk, M.D.

  • Ophthalmology Physician
  • Loveland, CO
  • NPI 1255336392
  Authorized official Same address or phone

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1811300403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E 15TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388701",
            "telephone_number": "970-669-1107",
            "fax_number": "970-669-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E 15TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388701",
            "telephone_number": "970-669-1107",
            "fax_number": "970-669-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-669-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "28606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summit Physical Therapy and Wellness
• Summit Speech & Rehab, LLC
• Summitstone Health Partners
• Summitstone Health Partners
• Summitstone Health Partners
• Summitstone Health Partners
• Summitstone Health Partners

• Ambulatory Surgical Clinic/Center in Loveland, CO
• Providers in Loveland, 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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.