ADVANCED SURGICAL SUPPORT (NPI# 1164600714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164600714 |
| Entity Type | Organization |
| Organization Name | ADVANCED SURGICAL SUPPORT |
| Practice Address |
4833 Front St B299 Castle Rock CO 80104-7902 |
| Practice Telephone | 3038141339 |
| Practice Fax Number | 3036636518 |
| Mailing Telephone | 3038141339 |
| Mailing Fax Number | 3036636518 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MR. RALPH WINKLER JR. (PRESIDENT) |
| Authorized Official Telephone | 3038141339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
4833 FRONT ST B299 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497919666 | Sage Creek Wellness Center | Clinic/Center | 4833 Front St, Unit C, Castle Rock, CO 80104-7902 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851844625 | Terra Toone | Specialist | 4106 Kestrel Pl, Castle Rock, CO 80109-7968 | 2016-07-28 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1285002402 | Horsepower, Inc. | Specialist | 5027 Garton Rd, Castle Rock, CO 80104-8553 | 2015-09-03 |
| 1184069353 | Jessica Bejot | Specialist | 4788 N Bearlily Way, Castle Rock, CO 80109-2820 | 2013-05-01 |
| 1871870493 | Heart To Hand Therapeutics, Inc. | Specialist | 821 Park St Ste A, Castle Rock, CO 80109-3135 | 2011-11-10 |
| 1801106489 | Kristin Rae Gordon | Specialist | 2049 Ranch Gate Trl, Castle Rock, CO 80104-7794 | 2010-10-15 |
| 1285967851 | Southern Way Surgical Inc. | Specialist | 200 S Wilcox St Ste 428, Castle Rock, CO 80104-1913 | 2009-09-14 |
| 1073754958 | Gail Chodera | Specialist | 409 Anderson St, Castle Rock, CO 80104-2545 | 2009-03-23 |
| 1124288667 | Curtis Sherwood Carlson | Specialist | 930 Bishop Ct Apt B, Castle Rock, CO 80104-2906 | 2008-06-09 |
| 1669682423 | Molly Rae Denicore | Specialist | 3724 Pecos Trl, Castle Rock, CO 80109-4595 | 2007-05-23 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on ADVANCED SURGICAL SUPPORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.