Organization Active NPI

Surgcenter of Castle Rock LLC

  • Ambulatory Surgical Clinic/Center
  • Castle Rock, CO
National Provider Identifier
1881020899
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGCENTER OF CASTLE ROCK LLC
Practice address
4700 Castleton Way
Castle Rock, CO 80109-7896
Phone
(720) 519-1418
Fax
(720) 519-1746
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Gregg Martyak, MD
Title
Ceo
Phone
(719) 260-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4700 Castleton Way
Castle Rock, CO 80109-7896

Mailing address

4700 Castleton Way
Castle Rock, CO 80109-7896
Phone (720) 519-1418

National Provider Directory

National Provider Directory

Locations

4700 Castleton Way
Ste 101
Castle Rock, CO 80109
Phone (303) 358-2048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1881020899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 CASTLETON WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097896",
            "telephone_number": "720-519-1418",
            "fax_number": "720-519-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CASTLETON WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097896",
            "telephone_number": "720-519-1418",
            "fax_number": "720-519-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER OF CASTLE ROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MARTYAK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-260-4767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.