Organization Active NPI

Edmund Surgical

  • Surgical Physician Assistant
  • Aurora, CO
National Provider Identifier
1891294922
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Dennis E PaigeNPI 1699036715
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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X SA.0001568 CO
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.