COLORADO PHYSICIAN SURGICAL ASST INC (NPI# 1649305343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649305343 |
| Entity Type | Organization |
| Organization Name | COLORADO PHYSICIAN SURGICAL ASST INC |
| Practice Address |
1673 S Flanders Way Aurora CO 80017-5509 |
| Practice Telephone | 7207482888 |
| Practice Fax Number | 3037511026 |
| Mailing Telephone | 7207482888 |
| Mailing Fax Number | 3037511026 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | MR. BOBBY LEE FOX (CSA) |
| Authorized Official Telephone | 7207482888 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
92-102 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1673 S FLANDERS WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80017-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508277070 | Mavis Lobo | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2014-05-18 |
| 1316286008 | Carlos Eduardo Fuenmayor | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2013-01-31 |
| 1942458179 | David Randell Bertsch | Contractor | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2008-08-29 |
| 1285802983 | Colorado Physician Surgical Assistance | Technician, Other | 1673 S Flanders Way, Aurora, CO 80017 | 2008-02-15 |
| 1942411145 | Louie Duran | Specialist/Technologist, Other | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-05-28 |
| 1881815900 | Bobby Lee Fox | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1598185753 | Emmanuel Lobo | Physician Assistant | 857 Vaughn St., Aurora, CO 80011 | 2014-04-25 |
| 1366879330 | Harold Lisandro Mendoza Moreno | Physician Assistant | 2381 Lundquist Dr, Aurora, IL 60503-3635 | 2013-10-04 |
| 1629318472 | Ricardo F Gonzalez | Physician Assistant | 6998 S Riverwood Way, Aurora, CO 80016-2486 | 2013-02-14 |
| 1548538457 | Arapahoe Professional Surgical Assistants | Physician Assistant | 13918 E Mississippi Ave # 474, Aurora, CO 80012-3603 | 2011-12-06 |
| 1225284490 | Arenas Surgical Services | Physician Assistant | 1999 Ione Ln, Aurora, IL 60503-7826 | 2008-08-07 |
| 1689896557 | Mark Brian Hinton | Physician Assistant | 19884 E. Vassar Ave., Aurora, CO 80013 | 2007-05-02 |
| 1033260963 | Patrick E Byrge | Physician Assistant | 21870 E Briarwood Dr, Suite #1321, Aurora, CO 80016-6034 | 2007-01-16 |
| 1255987772 | Jordan Francesca Macri | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-08-12 |
| 1033606686 | Emily Antoinette Williams | Physician Assistant | 1501 S Potomac St, Aurora, CO 80012-5411 | 2018-04-19 |
| Find all providers in AURORA | ||||
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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.