Active NPI
Surgical Associates of Western Colorado, P.C.
- Surgery Physician
- Grand Junction, CO
National Provider Identifier
1811917669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C.
- Practice address
- 1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997 - Phone
- (970) 243-9340
- Fax
- (970) 241-6894
- NPI assigned
- Jul 21, 2006
- Last updated
- Apr 11, 2008
- 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
- Debbie D Johns
- Title
- Practice Administrator
- Phone
- (970) 254-1686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997
Mailing address
1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997
Phone (970) 243-9340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUU7808 | Other | CO | ANTHEM BCBS GROUP# |
| 04009023 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2373 G Rd
Ste 280
Grand Junction, CO 81505
Phone (970) 243-9343
Interoperability endpoints
- https://api.platform.athenahealth.com/6865/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Surgery Physician
- Fruita, CO
- NPI 1790715720
-
- Surgery Physician
- Grand Junction, CO
- NPI 1215103692
-
- Surgical Physician Assistant
- Grand Junction, CO
- NPI 1437634094
-
- Registered Nurse First Assistant
- Grand Junction, CO
- NPI 1386952331
-
- Surgery Physician
- Grand Junction, CO
- NPI 1083634349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1811917669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 ORCHARD AVE",
"address_2": "SUITE I",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012997",
"telephone_number": "970-243-9340",
"fax_number": "970-241-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 ORCHARD AVE",
"address_2": "SUITE I",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012997",
"telephone_number": "970-243-9340",
"fax_number": "970-241-6894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "JOHNS",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "970-254-1686"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS GROUP#",
"identifier": "SUU7808",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04009023",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.