Alan Chad Edmonson, CST/CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA.0001554 Issued in CO

Practice address

9671 Millstone CT
Highlands Ranch, CO 80130-3371

Phone

(303) 870-4937

NPI assigned

Jan 4, 2012

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basa Inc

  • Surgical Assistant
  • Highlands Ranch, CO
  • NPI 1609341841
  NPD Authorized official
• Cosurgicalassisting

  • Surgical Assistant
  • Highlands Ranch, CO
  • NPI 1407647696
  NPD Authorized official
• Statcall Surgical Assisting

  • Surgical Assistant
  • Parker, CO
  • NPI 1659638559
  NPD (past) Authorized official

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1891065017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5073",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801555073",
            "telephone_number": "303-953-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 MILLSTONE CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303371",
            "telephone_number": "303-870-4937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10084 Amston St",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343658",
            "country_code": "US",
            "telephone_number": "303-953-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "ALAN",
        "middle_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "CST/CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0001554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Earnest, LISW, LCSW
• Eastridge Chiropractic Company P.C.
• Jennifer Eatherly, LMSW
• Paul Eckerman, PT
• Sarah Bartek Eckhart, MSN, APN, CPNP-PC
• Brittany Edwards, M.A., LPCC
• Judith Ruth Edwards, MS CCC
• Ronald D Edwards, R.PH, PHARM.D.
• Ashley Edwardson, MA
• Joseph A Ekhoff

• All providers in Highlands Ranch, CO
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.