SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC (NPI# 1508863085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508863085 |
| Entity Type | Organization |
| Organization Name | SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC |
| Other Organization Name | SPRING CREEK SURGERY CENTER |
| Practice Address |
2001 S Shields St Bldg F Fort Collins CO 80526-1827 |
| Practice Telephone | 9702321717 |
| Practice Fax Number | 9704883950 |
| Mailing Telephone | 9702321717 |
| Mailing Fax Number | 9704883950 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | MR. JACK BURGIN (ADMINISTRATOR) |
| Authorized Official Telephone | 9702321717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0110 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04510251 | 05 |
| Other Name | Type Code |
|---|---|
| SPRING CREEK SURGERY CENTER | Doing Business As Name - Organization |
| Street Address |
2001 S SHIELDS ST BLDG F |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976098 | Ricky Davis | Peer Specialist | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2019-11-15 |
| 1528515616 | Sariah R Collard | Counselor | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2016-09-06 |
| 1881017366 | Healing Warriors Program | Voluntary or Charitable | 2001 S Shields St, Building L, Fort Collins, CO 80526-1827 | 2014-02-04 |
| 1053747311 | Wendy Fleagane | Counselor | 2001 S Shields St, Bldg K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1760818025 | Kirsten Goffena | Counselor | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1689012825 | Robert Larson Od PC | Optometrist | 2001 S Shields St, Ste. B-3, Fort Collins, CO 80526-1827 | 2013-06-10 |
| 1407299803 | Noel C Jensen | Acupuncturist | 2001 S Shields St, Ste H101, Fort Collins, CO 80526-1827 | 2013-04-16 |
| 1982956215 | Kelly J Keeler | Behavioral Analyst | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-10 |
| 1588916118 | Adam J Doherty | Social Worker | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-05 |
| 1750669289 | Lindsey Louise Cosper | Dentist | 2001 S Shields St, Bldg C-1, Fort Collins, CO 80526-1827 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104993799 | Surgery Center of Fort Collins LLC | Clinic/Center | 1100 E Prospect Rd, Fort Collins, CO 80525-5304 | 2006-11-29 |
| 1245475524 | Poudre Valley Health Care Inc | Clinic/Center | 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528-8620 | 2008-12-15 |
| 1013116938 | Foot Surgery Center of Northern Colorado LLC | Clinic/Center | 1355 Riverside Ave, Suite B, Fort Collins, CO 80524 | 2007-07-11 |
| 1174590434 | Harmony Surgery Center, LLC | Clinic/Center | 2127 E Harmony Rd, Suite 200, Fort Collins, CO 80528-3405 | 2006-03-07 |
| 1477559839 | Surgery Center of Northern Colorado | Clinic/Center | 1725 E Prospect Rd, Fort Collins, CO 80525-1307 | 2005-06-21 |
| 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 |
| 1770180986 | Audubon Ambulatory Surgery Center LLC | Clinic/Center | 6011 E Woodmen Rd Ste 200, Colorado Springs, CO 80923-2604 | 2020-10-01 |
| 1376155440 | Colorado Urologic Surgery Center, LLC | Clinic/Center | 3 Superior Dr Ste 301, Superior, CO 80027-8655 | 2020-08-20 |
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1366064032 | Care Dental Surgical Center of Denver LLC | Clinic/Center | 1111 S Abilene Ct, Aurora, CO 80012-4909 | 2020-05-15 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1821642661 | Steamboat Surgery Center, LLC | Clinic/Center | 705 Marketplace Plz Ste 150, Steamboat Springs, CO 80487-1800 | 2019-07-30 |
| 1679134795 | Greeley Endoscopy Center, LLC | Clinic/Center | 8227 W 20th St, Greeley, CO 80634-3039 | 2019-06-28 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1659842128 | Milestone Surgical Center LLC | Clinic/Center | 9800 Pyramid Ct Ste 300, Englewood, CO 80112-2667 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC.
| 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.