ADVANTAGE SURGICAL LLC (NPI# 1336263821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336263821 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE SURGICAL LLC |
| Practice Address |
4548 S Bannock St Englewood CO 80110-5706 |
| Practice Telephone | 3039291090 |
| Mailing Telephone | 3039291090 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFERY ALLEN GARNER (CEO) |
| Authorized Official Telephone | 3039291090 |
| Authorized Official Credential | CFA SAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4548 S BANNOCK ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497856686 | Jeffrey Garner | Physician Assistant | 4548 S Bannock St, Englewood, CO 80110-5706 | 2006-09-26 |
| 1699903203 | Amanda C Robichaud | Specialist/Technologist, Other | 4548 S Bannock St, Englewood, CO 80110-5706 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782346 | Summit Surgical Services | Physician Assistant | 2068 E Floyd Pl, Englewood, CO 80113-3129 | 2015-02-05 |
| 1497856686 | Jeffrey Garner | Physician Assistant | 4548 S Bannock St, Englewood, CO 80110-5706 | 2006-09-26 |
| 1043297377 | John G Spranger | Physician Assistant | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2005-12-28 |
| 1366862013 | Rachel Stadler | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-04-21 |
| 1871916361 | Kristina Scheerer | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-02-04 |
| 1669743035 | Courtney J Woodhull | Physician Assistant | 350 Engle St, Englewood, NJ 07631-1808 | 2012-01-18 |
| 1003119736 | Megan Nora Cronin | Physician Assistant | 701 E Hampden Ave, #515, Englewood, CO 80113-2736 | 2010-12-20 |
| 1508167669 | Erin Michelle Moreau | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2010-11-05 |
| 1205064250 | Sarah Monchar | Physician Assistant | 309 Engle St, Suite 6, Englewood, NJ 07631-1824 | 2009-06-29 |
| 1144478884 | Kandice Michelle Rosemond | Physician Assistant | 350 Engle St, Englewood, NJ 07631-1808 | 2008-09-07 |
| Find all providers in ENGLEWOOD | ||||
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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.