DASTGEER SURGICAL ASSOCIATES (NPI# 1720569569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720569569 |
| Entity Type | Organization |
| Organization Name | DASTGEER SURGICAL ASSOCIATES |
| Other Organization Name | DSA |
| Practice Address |
200 Exempla Cir Lafayette CO 80026-3370 |
| Mailing Address |
Po Box 41 Broomfield CO 80038-0041 |
| Practice Telephone | 7203001208 |
| Practice Fax Number | 3034106903 |
| Mailing Telephone | 7203001208 |
| Mailing Fax Number | 3034106903 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | AHMAD WALID DASTGEER (CERTIFIED SURGICAL ASSISTANT) |
| Authorized Official Telephone | 7203001208 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
83266 | CO | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| DSA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093136368 | Dastgeer Surgical Associates | Specialist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2014-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Dastgeer Surgical Associates LLC | 4674 Jasper Ln, Broomfield, CO 80020 |
| Street Address |
200 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932387 | Susan L Blakley | Internal Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2005-09-15 |
| 1790391480 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-18 |
| 1659985737 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-04 |
| 1669096848 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-03 |
| 1104451699 | Emergency Service Physicians, Inc. | Emergency Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-03-05 |
| 1639607021 | Sagarika Sinha | Hospitalist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2017-05-30 |
| 1619321148 | Stephanie Veronica Eldred | Family Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2016-04-21 |
| 1861877169 | Ashley Lane | Physician Assistant | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-07-28 |
| 1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
| 1487063889 | Jenna Allais | Pharmacist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2014-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516406 | Victoria Claire Robinson | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-03 |
| 1366968562 | Nichole E. Tolle | Specialist/Technologist, Other | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2017-08-18 |
| 1740641190 | Shelly Blocher | Specialist/Technologist, Other | 1345 Unity Pl, Ste 210, Lafayette, IN 47905-5760 | 2016-03-14 |
| 1063871770 | Kimberly Gangwer | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2016-02-23 |
| 1720447923 | Ginger Duplantis | Specialist/Technologist, Other | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2016-02-16 |
| 1902074552 | Anne Hunter | Specialist/Technologist, Other | 2600 Ferry St, Indianapolis Neurosurgical Group, Lafayette, IN 47904-3055 | 2008-02-18 |
| 1306014949 | Kimberly L Fleischhauer | Specialist/Technologist, Other | 2600 Ferry St, Lafayette, IN 47904-3055 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881945 | Jaime Brooks | Specialist/Technologist, Other | 7262 S Blackhawk St Apt 8206, Englewood, CO 80112-4023 | 2020-11-04 |
| 1649881723 | Cecilia Flores | Specialist/Technologist, Other | 4245 Basswood Dr, Colorado Springs, CO 80920-6645 | 2020-08-12 |
| 1609486059 | Gregory Franklin Wright | Specialist/Technologist, Other | 2255 Sheridan Blvd Unit C321, Edgewater, CO 80214-1313 | 2020-07-31 |
| 1023635117 | Byron Pollock | Specialist/Technologist, Other | 10798 Madison Way, Northglenn, CO 80233-4482 | 2020-07-06 |
| 1558996736 | Zachary Apu Stroh | Specialist/Technologist, Other | 3215 W 17th Ave, Denver, CO 80204-1909 | 2020-03-07 |
| 1588297162 | John Gines | Specialist/Technologist, Other | 1920 Mainsail Dr, Fort Collins, CO 80524-6707 | 2020-02-21 |
| 1750921136 | Eric Matthew Shelman | Specialist/Technologist, Other | 7286 S Pierce Ct, Littleton, CO 80128-4516 | 2020-01-13 |
| 1033750393 | Liudmila Fernandez | Specialist/Technologist, Other | 4308 S Delighted Cir, Colorado Springs, CO 80917-1500 | 2019-10-07 |
| 1235690363 | Mariha Dawn Miller | Specialist/Technologist, Other | 10200 Park Meadows Dr Unit 1727, Lone Tree, CO 80124-5466 | 2019-03-29 |
| 1477012094 | Wilmer Del Carmen Brizuela Moran | Specialist/Technologist, Other | 1755 S Beeler St Unit 11d, Denver, CO 80247-2913 | 2019-03-13 |
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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.