Edmond General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

EDMOND GENERAL SURGERY LLC

Practice address

4900 S Monaco St
#210
Denver, CO 80237-3486

Phone

(303) 584-8000

Fax

(303) 584-8141

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

William M Smitham

Title

Executive Director

Phone

(303) 584-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brandon Heath Kilgore, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1023158508
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1912947755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-584-8000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xavier Anthony Edgren, MD
• Edhealth, LLC.
• Tara J Edick, PA
• Katrina Emilie Edie
• Caroline Edler, MSS, LSW
• Edmond Intensivists LLC
• Edmond Spine and Orthopedics Services LLC
• Kristine Lopes Edmonds, MA LPC
• Ana Maria Edmondson
• Edmund Casper MD PC

• Surgery Physician in Denver, CO
• Providers in Denver, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.