MONTROSE SURGICAL ASSOCIATES PC (NPI# 1225096779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225096779 |
| Entity Type | Organization |
| Organization Name | MONTROSE SURGICAL ASSOCIATES PC |
| Practice Address |
611 E Star Ct Ste A Montrose CO 81401-6701 |
| Practice Telephone | 9702494321 |
| Practice Fax Number | 9702492339 |
| Mailing Telephone | 9702494321 |
| Mailing Fax Number | 9702492339 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIERAN M JAY (OWNER) |
| Authorized Official Telephone | 9702494321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04021465 | 05 |
| Street Address |
611 E STAR CT STE A |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602064 | Kerry G Wilson | Physical Therapist | 611 E Star Ct, Montrose, CO 81401-6704 | 2005-10-12 |
| 1831737782 | Cory Meaker | Physical Therapy Assistant | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-11 |
| 1316584600 | Mary Genser | Physical Therapy Assistant | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-05 |
| 1134766439 | Emma Head | Occupational Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-12-05 |
| 1366092272 | Tesse Lane Maciejko | Physical Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2019-09-13 |
| 1396207759 | Christina M Masimer | Speech-Language Pathologist | 611 E Star Ct, Montrose, CO 81401-6704 | 2019-04-04 |
| 1194181206 | Advanced Dysphagia Diagnostics LLC | Speech-Language Pathologist | 611 E Star Ct, Montrose, CO 81401-6704 | 2016-01-05 |
| 1578838595 | Ryan Christopher Williams | Physical Therapist | 611 E Star Ct, Montrose, CO 81401-6704 | 2012-03-09 |
| 1639465479 | Cynthia Japhet Millward | Surgery | 611 E Star Ct, Suite A, Montrose, CO 81401-6704 | 2011-06-20 |
| 1316174949 | Robert Lee Hunt | Physical Therapist | 611 E Star Ct, Suite B, Montrose, CO 81401-6704 | 2009-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1760830509 | Loraine Allen Adams | Specialist | 701 N 3rd St, Montrose, CO 81401-3509 | 2016-06-02 |
| 1043616469 | Darla Gilder | Specialist | 919 Heather Ln, Montrose, CO 81401-9748 | 2014-11-12 |
| 1255758587 | Veronica Parks | Specialist | 18 Meadow Rd, Montrose, NY 10548-1328 | 2014-03-25 |
| 1619398294 | Robert Eubanks | Specialist | 3 Oak Ln, Montrose, AL 36559-0655 | 2013-12-26 |
| 1528409463 | Kelly Elizabeth Vedovato | Specialist | 20 Coachlight Sq, Montrose, NY 10548-1241 | 2013-07-08 |
| 1407110844 | Denise O'sullivan | Specialist | 85 Kings Ferry Rd, Montrose, NY 10548-1116 | 2012-06-29 |
| 1912148891 | Devin Nogaki | Specialist | 4105 Ocean View Blvd Ste A, Montrose, CA 91020-1515 | 2009-03-23 |
| 1376792788 | Melinda Guadalupe Torres | Specialist | 11192 Nichols Rd, Montrose, MI 48457-9113 | 2008-09-10 |
| 1457375560 | William Jay Megginson | Specialist | 7048 Jewett Street, Montrose, AL 36559-0866 | 2006-07-26 |
| 1699710087 | William E. Faragher | Specialist | 5 Hillcrest Plaza Way, Montrose, CO 81401-5876 | 2006-06-18 |
| Find all providers in MONTROSE | ||||
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| 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.