Castle Rock Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CASTLE ROCK SURGICENTER, LLC

Practice address

4700 Castleton Way Ste 101
Castle Rock, CO 80109

Phone

(512) 653-4730

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Marcie Campagnola

Title

Chief Administrative Officer

Phone

(720) 519-1418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Castle Rock Surgicenter LLCCCN 06C0001166

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Jessica Leigh Herzog, DPM

  • Foot & Ankle Surgery Podiatrist
  • Castle Rock, CO
  • NPI 1609044585
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1831686674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 CASTLETON WAY STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CASTLETON WAY STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109",
            "telephone_number": "512-653-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNOLA",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "720-519-1418"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castle Rock Orthopaedics & Sports Medicine PC
• Castle Rock Pediatrics PLLC
• Castle Rock Restorative
• Castle Rock Senior Living, LLC
• Castle Rock Sleep Center
• Castle Rock Therapies, LLC
• Castle Valley Daental PC
• Catholic Charities of Central Colorado Inc
• Jocelyn Cavender, P.A.
• Renee Michelle Cawley, M.S.C., LPC

• Ambulatory Surgical Clinic/Center in Castle Rock, CO
• Providers in Castle Rock, 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 Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.