DOCTORS SURGERY CENTER INC (NPI# 1750386231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386231 |
| Entity Type | Organization |
| Organization Name | DOCTORS SURGERY CENTER INC |
| Practice Address |
4100 Jerry Murphy Rd Pueblo CO 81001-1076 |
| Practice Telephone | 7195456013 |
| Practice Fax Number | 7195452054 |
| Mailing Telephone | 7195456013 |
| Mailing Fax Number | 7195452054 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | DR. ALAN WYCHE BICKEL (CEO) |
| Authorized Official Telephone | 7195456013 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
137 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAIL ROAD MEDICARE | 490003790 | 01 |
| CO | 04510384 | 05 | |
| CO | BLU CROSS BLUE SHIELD | 00389 | 01 |
| Street Address |
4100 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679144 | Alan Wyche Bickel | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2005-06-20 |
| 1437549359 | Center of Surgical Excellence, LLC | Clinic/Center | 4100 Jerry Murphy Rd, Suite B, Pueblo, CO 81001-1046 | 2015-01-30 |
| 1720386139 | Donald C. Luebke M.d. PC | Durable Medical Equipment & Medical Supplies | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2011-03-09 |
| 1043538382 | Southern Colorado Crna Associates Inc | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001 | 2010-05-11 |
| 1164668216 | Southern Colorado Anesthesia Professional LLC | Anesthesiology | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2008-12-19 |
| 1013117092 | Eric Richter | Specialist | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-07-19 |
| 1225234065 | Elp L.l.c | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2007-06-26 |
| 1750489407 | Donald Clifton Luebke | Surgery | 4100 Jerry Murphy Rd, Pueblo, CO 81001 | 2006-09-20 |
| 1487692141 | Donna Lamont | Nurse Anesthetist, Certified Registered | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 2006-06-03 |
| 1316942881 | Vicky J Higgins | Nurse Practitioner | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194751784 | Aberdeen Surgery Center, LLC | Clinic/Center | 650 Dittmer Avenue, Pueblo, CO 81005-1212 | 2006-06-24 |
| 1639134505 | Pueblo Ambulatory Surgery Center LLC | Clinic/Center | 25 Montebello Rd, Pueblo, CO 81001-1236 | 2006-04-20 |
| 1285608075 | Pueblo Co Ophthalmology Asc LLC | Clinic/Center | 1402 Fortino Blvd, Pueblo, CO 81008-2033 | 2006-02-16 |
| 1205317054 | Skyline Surgery Center, LLC | Clinic/Center | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2018-08-28 |
| 1053770370 | Parkview Medical Center, Inc | Clinic/Center | 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 | 2016-02-15 |
| 1437549359 | Center of Surgical Excellence, LLC | Clinic/Center | 4100 Jerry Murphy Rd, Suite B, Pueblo, CO 81001-1046 | 2015-01-30 |
| 1871658658 | Parkwest Surgery Center, LLC. | Clinic/Center | 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 | 2006-12-22 |
| 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 | ||||
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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.