Individual provider Active NPI

Laura A Souslian, M.D.

  • Surgery Physician
  • Littleton, CO
National Provider Identifier
1902121536
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
62599 Issued in CO
Practice address
7720 S Broadway Ste 410
Littleton, CO 80122-2624
Phone
(303) 577-9005
Fax
(303) 577-9006
NPI assigned
Apr 7, 2010
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58685 MN
Surgery Physician 208600000X 62599 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 410
Littleton, CO 80122-2624

Mailing address

3333 S Bannock St
Suite 350
Englewood, CO 80110-2446
Phone (303) 957-1310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.souslian@surgone.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62599COMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: laura.souslian@surgone.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1902121536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST",
            "address_2": "SUITE 350",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102446",
            "telephone_number": "303-957-1310",
            "fax_number": "303-798-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 410",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "303-577-9005",
            "fax_number": "303-577-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSLIAN",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "58685",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "62599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.souslian@surgone.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7750 S Broadway Ste 410",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801222623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.