Active NPI
Edmund Surgical
- Surgical Physician Assistant
- Aurora, CO
National Provider Identifier
1891294922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- EDMUND SURGICAL
- Practice address
- 1079 Joliet St
Aurora, CO 80010-4047 - Phone
- (303) 815-4708
- NPI assigned
- Feb 5, 2018
- 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
- Dennis E Paige
- Title
- Surgical Assistant
- Phone
- (303) 815-4708
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA.0001568 | CO | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
1079 Joliet St
Aurora, CO 80010-4047
Mailing address
1079 Joliet St
Aurora, CO 80010-4047
Phone (303) 815-4708
Other practice location 1
1279 Salem St
Aurora, CO 80011-6349
Phone (303) 815-4708
National Provider Directory
National Provider DirectoryPractitioners & 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": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660780800000",
"number": "1891294922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 JOLIET ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800104047",
"telephone_number": "303-815-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 JOLIET ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800104047",
"telephone_number": "303-815-4708"
}
],
"practiceLocations": [
{
"address_1": "1279 Salem St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800116349",
"country_code": "US",
"telephone_number": "303-815-4708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDMUND SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2022-08-18",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "PAIGE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SURGICAL ASSISTANT",
"authorized_official_telephone_number": "303-815-4708"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "SA.0001568",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.