Herman Aristov, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

05-147 Issued in CO

Practice address

1170 Berganot Trail
Castle Pines, CO 80108

Phone

(410) 491-9746

NPI assigned

Oct 18, 2012

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1821341587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BERGANOT TRL",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083628",
            "telephone_number": "410-461-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BERGANOT TRAIL",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "410-491-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTOV",
        "first_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "05-147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma Ali, PSY.D., ABPP
• Ally's Angels
• Animal Care Center of Castle Rock
• Amy Luretha Antinoro, MS,CCC-SLP
• Neda Arami, M.D.
• Av Wellness Home Care LLC
• Ayana Healing and Recovery Inc
• Jessica Bailin, OD
• Lorie Jeannine Bar, O.T.R.
• Tatiana Janae Barcikowski III, PSYD, PHD, CT

• Surgical Assistant in Castle Pines, CO
• Providers in Castle Pines, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.