SOUTH DENVER SURGICAL SERVICES LLC (NPI# 1366065674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366065674 |
| Entity Type | Organization |
| Organization Name | SOUTH DENVER SURGICAL SERVICES LLC |
| Other Organization Name | SOUTH DENVER UROLOGY CENTER |
| Practice Address |
11 W Dry Creek Cir Ste 120 Littleton CO 80120-8078 |
| Practice Telephone | 3038351129 |
| Practice Fax Number | 3038351192 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MR. TODD MASTEN (PARTNER) |
| Authorized Official Telephone | 8438198995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Denver Urology Center | Doing Business As Name - Organization |
| Street Address |
11 W DRY CREEK CIR STE 120 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-8078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588756621 | Highline South Ambulatory Surgery Center, LLC | Clinic/Center | 11 W Dry Creek Cir Ste 120, Littleton, CO 80120-8078 | 2006-09-28 |
| 1174135701 | Neurosurgery One PC | Neurological Surgery | 11 W Dry Creek Cir Ste 120, Littleton, CO 80120-8078 | 2020-08-17 |
| 1265043228 | Neurosurgery One PC | Neurological Surgery | 11 W Dry Creek Cir Ste 120, Littleton, CO 80120-8078 | 2020-08-13 |
| 1225689631 | Peak Surgical Center, LLC | Orthopaedic Surgery | 11 W Dry Creek Cir Ste 120, Littleton, CO 80120-8078 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699958538 | Jennifer J. Lucas | Urology | 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 | 2007-12-14 |
| 1881613552 | Russell G. Sarver | Urology | 580 St. Johnsbury Rd., Littleton, NH 03561 | 2006-07-19 |
| 1700841590 | Raymond Paltoo | Urology | 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 | 2006-04-18 |
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|---|---|---|---|---|
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| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| 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.