RAVEN SURGICAL, LLC (NPI# 1609344365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609344365 |
| Entity Type | Organization |
| Organization Name | RAVEN SURGICAL, LLC |
| Practice Address |
8775 W Ottawa Ave Littleton CO 80128-4007 |
| Mailing Address |
Po Box 620233 Littleton CO 80162-0233 |
| Practice Telephone | 3039812981 |
| Practice Fax Number | 3038563501 |
| Mailing Telephone | 3039812981 |
| Mailing Fax Number | 3038563501 |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |
| Authorized Official Name | DIANE GIUSTI (OWNER) |
| Authorized Official Telephone | 3039812981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Raven Surgical, LLC | 8775 W Ottawa Ave, Littleton, CO 80128 |
| Street Address |
8775 W OTTAWA AVE |
| City | LITTLETON |
| State | CO |
| Zip Code | 80128-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356406854 | Diane Giusti | Physician Assistant | 8775 W Ottawa Ave, Littleton, CO 80128-4007 | 2006-12-26 |
| 1235294752 | Physician Assistant Surgical Services Ltd. | Physician Assistant | 8775 W Ottawa Ave, Littleton, CO 80128-4007 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399663 | Carlson Dental Pllc | Dentist | 7325 S. Pierce St Suite 200, Littleton, CO 80128 | 2019-07-25 |
| 1073073060 | Anais Christina Taylor | Student in an Organized Health Care Education/Training Program | 1960 Ogden St, Family Medicine - Bruner Family Medicine, Suite 460, Denver, CO 80128 | 2019-03-25 |
| 1033623467 | Georgia Kay Thompson | Specialist/Technologist, Other | 7575 S Everett St, Littleton, CO 80128 | 2017-11-21 |
| 1831619147 | Tori Horstmann | Speech-Language Pathologist | 7767 S Marshall Ct, Littleton, CO 80128 | 2017-06-27 |
| 1942736178 | Morgan Pamela Wilson | Physical Therapist | 6638 W Ottawa Ave # 115, Littleton, CO 80128 | 2017-05-09 |
| 1013450451 | Gabrielle O'hare | Behavioral Analyst | 8406 S Newland Ct, Littleton, CO 80128 | 2016-12-01 |
| 1528420940 | Colorado Assisted Living Homes Lamar | Assisted Living Facility | 6952 S. Lamar St, Littleton, CO 80128 | 2016-03-24 |
| 1871962407 | Jane Funke Mcgill | Counselor | 7345 S Pierce St Ste 202h2, Littleton, CO 80128 | 2015-09-24 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1679823843 | Desirae Frances Kemock | Physical Therapist | 9805 W Hinsdale Pl, Littleton, CO 80128 | 2012-09-14 |
| Find all providers in zip 80128 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730546532 | Colorado Assisting LLC | Physician Assistant | 5856 S Lowell Blvd Unit 32-408, Littleton, CO 80123-7915 | 2016-01-25 |
| 1356406854 | Diane Giusti | Physician Assistant | 8775 W Ottawa Ave, Littleton, CO 80128-4007 | 2006-12-26 |
| 1922082676 | Helene G Desmarais | Physician Assistant | 11378 W Radcliffe Dr, Littleton, CO 80127-1077 | 2005-12-05 |
| 1659729226 | Christopher M Jackson | Physician Assistant | 7780 S Broadway Ste 350, Littleton, CO 80122 | 2016-05-24 |
| 1235460908 | Hgd Surgical Pa Services, Inc. | Physician Assistant | 11378 W Radcliffe Dr, Littleton, CO 80127-1077 | 2010-01-20 |
| 1114178407 | Zena Maldonado | Physician Assistant | 7700 S Broadway, Littleton, CO 80122-2602 | 2008-10-04 |
| 1235294752 | Physician Assistant Surgical Services Ltd. | Physician Assistant | 8775 W Ottawa Ave, Littleton, CO 80128-4007 | 2006-12-26 |
| 1427013119 | Kariann Place | Physician Assistant | 600 St. Johnsbury Rd., Littleton, NH 03561 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| 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.