ALTITUDE SURGERY CENTER LONE TREE PLLC (NPI# 1396231627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396231627 |
| Entity Type | Organization |
| Organization Name | ALTITUDE SURGERY CENTER LONE TREE PLLC |
| Practice Address |
10375 Park Meadows Dr Ste 150b Lone Tree CO 80124-6735 |
| Practice Telephone | 7203284990 |
| Practice Fax Number | 7203284994 |
| Mailing Telephone | 7203284990 |
| Mailing Fax Number | 7203284994 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | DR. BRIAN JOHN FANGMAN (OWNER) |
| Authorized Official Telephone | 7203284990 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INDIVIDUAL NPI | 1609027556 | 01 |
| CO | GROUP NPI ROBINSON AND FANGMAN COSMETIC SURGERY LONE TREE, PLLC | 1770091720 | 01 |
| CO | 1952791964 | 05 |
| Street Address |
10375 PARK MEADOWS DR STE 150B |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-6735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819873 | Lone Tree Surgery Center, LLC | Clinic/Center | 9218 Kimmer Dr Ste 101, Lone Tree, CO 80124-6733 | 2020-10-22 |
| 1083893499 | Yosemite Street Surgery Center, LLC | Clinic/Center | 9777 S. Yosemite St, Ste 210, Lone Tree, CO 80124-3191 | 2007-11-01 |
| 1669548368 | Park Meadows Outpatient Surgery, LLC | Clinic/Center | 7430 Park Meadows Dr, Suite 300, Lone Tree, CO 80124-2559 | 2006-11-27 |
| 1689649451 | The Surgery Center At Park Meadows, L.L.C. | Clinic/Center | 9218 Kimmer Dr, Lone Tree, CO 80124-6732 | 2006-02-22 |
| 1396304382 | University of Colorado Hospital Authority | Clinic/Center | 9218 Kimmer Dr, Lone Tree, CO 80124-6732 | 2019-06-12 |
| 1780117440 | Insight Surgery Center, LLC | Clinic/Center | 9777 S Yosemite St, 210, Lone Tree, CO 80124 | 2017-04-09 |
| 1881126795 | Kasier Permante | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2017-03-30 |
| 1730611922 | Irina Vigdorova | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2017-03-28 |
| 1538512801 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, 2nd Floor, Lone Tree, CO 80124-5425 | 2016-07-21 |
| 1447645072 | Esprit Surgery Center, LLC | Clinic/Center | 10375 Park Meadows Dr, Suite 150b, Lone Tree, CO 80124-6735 | 2015-03-31 |
| Find all providers in LONE TREE | ||||
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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.