WYOMING-COLORADO-MISSOURI SURGICAL, PLLC (NPI# 1366830721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366830721 |
| Entity Type | Organization |
| Organization Name | WYOMING-COLORADO-MISSOURI SURGICAL, PLLC |
| Practice Address |
6870 W 52nd Ave Suite 102 Arvada CO 80002-3951 |
| Practice Telephone | 3035340391 |
| Practice Fax Number | 3035340393 |
| Mailing Telephone | 3035340391 |
| Mailing Fax Number | 3035340393 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | MICHAEL JANSSEN (TRUSTEE) |
| Authorized Official Telephone | 3035340391 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Wyoming-Colorado-Missouri Surgical, PLLC | 6870 West 52nd Avenue, Suite 102, Arvada, CO 80002 |
| Street Address |
6870 W 52ND AVE SUITE 102 |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821200528 | Occupational Medicine and Injury Clinic | Clinic/Center | 6870 W 52nd Ave, 201, Arvada, CO 80002-3951 | 2007-05-04 |
| 1780122051 | Lindsay Windels | Counselor | 6870 W 52nd Ave, Suite 103, Arvada, CO 80002-3951 | 2017-02-07 |
| 1134670045 | Arvada Hearing Center, Inc. | Clinic/Center | 6870 W 52nd Ave, Suite 201, Arvada, CO 80002-3951 | 2016-10-17 |
| 1437527447 | Wonderment Enterprises, Inc. | Community/Behavioral Health | 6870 W 52nd Ave, 101, Arvada, CO 80002-3951 | 2015-09-08 |
| 1699150565 | Jennifer Marie Winters | Audiologist | 6870 W 52nd Ave, Suite 207, Arvada, CO 80002-3951 | 2015-07-21 |
| 1710391438 | Arvada Hearing Center, Inc. | Clinic/Center | 6870 W 52nd Ave, #201, Arvada, CO 80002-3951 | 2014-06-20 |
| 1760775696 | Dianne C. Stone M.d., P.C. | Obstetrics & Gynecology | 6870 W 52nd Ave, Suite 210, Arvada, CO 80002-3951 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194179697 | Frederick Joseph Paull | Specialist/Technologist, Other | 6129 W 84th Pl, Arvada, CO 80003-1339 | 2016-04-20 |
| 1992179220 | Shellei Jaramillo-mitchell | Specialist/Technologist, Other | 5616 Carr St, Arvada, CO 80002-2337 | 2015-11-24 |
| 1841539624 | Eric Andrew Nay | Specialist/Technologist, Other | 10951 W 63rd Pl, 302, Arvada, CO 80004-4575 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881945 | Jaime Brooks | Specialist/Technologist, Other | 7262 S Blackhawk St Apt 8206, Englewood, CO 80112-4023 | 2020-11-04 |
| 1649881723 | Cecilia Flores | Specialist/Technologist, Other | 4245 Basswood Dr, Colorado Springs, CO 80920-6645 | 2020-08-12 |
| 1609486059 | Gregory Franklin Wright | Specialist/Technologist, Other | 2255 Sheridan Blvd Unit C321, Edgewater, CO 80214-1313 | 2020-07-31 |
| 1023635117 | Byron Pollock | Specialist/Technologist, Other | 10798 Madison Way, Northglenn, CO 80233-4482 | 2020-07-06 |
| 1558996736 | Zachary Apu Stroh | Specialist/Technologist, Other | 3215 W 17th Ave, Denver, CO 80204-1909 | 2020-03-07 |
| 1588297162 | John Gines | Specialist/Technologist, Other | 1920 Mainsail Dr, Fort Collins, CO 80524-6707 | 2020-02-21 |
| 1750921136 | Eric Matthew Shelman | Specialist/Technologist, Other | 7286 S Pierce Ct, Littleton, CO 80128-4516 | 2020-01-13 |
| 1033750393 | Liudmila Fernandez | Specialist/Technologist, Other | 4308 S Delighted Cir, Colorado Springs, CO 80917-1500 | 2019-10-07 |
| 1235690363 | Mariha Dawn Miller | Specialist/Technologist, Other | 10200 Park Meadows Dr Unit 1727, Lone Tree, CO 80124-5466 | 2019-03-29 |
| 1477012094 | Wilmer Del Carmen Brizuela Moran | Specialist/Technologist, Other | 1755 S Beeler St Unit 11d, Denver, CO 80247-2913 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
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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.