Active NPI
Professional Alliance Surgical
- Surgical Assistant
- Lakewood, CO
National Provider Identifier
1851798524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA0001073
- Legal business name
- PROFESSIONAL ALLIANCE SURGICAL
- Practice address
- 2251 S Zang CT
Lakewood, CO 80228-4365 - Phone
- (303) 716-5738
- NPI assigned
- Nov 25, 2014
- 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
- Paul Beale
- Title
- President
- Phone
- (303) 716-5738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA0001073 | CO | Primary |
Addresses
Primary practice location
2251 S Zang CT
Lakewood, CO 80228-4365
Mailing address
2251 S Zang CT
Lakewood, CO 80228-4365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417919770 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Professional Alliance Surgical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Nurse First Assistant
- Lakewood, CO
- NPI 1801252044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Assistant
- Lakewood, CO
- NPI 1417919770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416873600000",
"number": "1851798524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 S ZANG CT",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 S ZANG CT",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284365",
"telephone_number": "303-716-5738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ALLIANCE SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A",
"authorized_official_last_name": "BEALE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-716-5738"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "SA0001073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417919770",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
- Sophie Victoria Pritchard, RN
- Private Healthcare Facilities
- PRN for Families
- Saige Renee Probasco, PHARM.D.
- Profesional Nursing Foot Care
- Professional Alliance Surgical, LLC
- Professional Hearing Services Corp.
- Professional Hearing Services, Inc.
- Professional Nursing Services
- Progress Mental Health, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.