Summit Surgical Services

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3036 Issued in CO

Legal business name

SUMMIT SURGICAL SERVICES

Practice address

2068 E Floyd PL
Englewood, CO 80113-3129

Phone

(616) 723-3731

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Stephen Ladd

Title

Manager

Phone

(616) 723-3731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1851782346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102755",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802502755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 E FLOYD PL",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133129",
            "telephone_number": "616-723-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-723-3731"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Sullivan, PA
• Janel Sullivan, MS
• Nicholas C Sullivan, NP
• Summit Headache and Neurologic Institute, PC
• Summit Primary Care
• Sunbeth Corporation
• Michael Sundeen, MS, ATC
• Sunmed Medical Systems LLC
• Surepoint Medical LLC
• Jade Surface, DO

• Surgical Physician Assistant in Englewood, CO
• Providers in Englewood, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.