BLUE MOUNTAIN SURGICAL ASSISTING (NPI# 1801381710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801381710 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN SURGICAL ASSISTING |
| Other Organization Name | BLUE MOUNTAIN SURGICAL ASSISTING |
| Practice Address |
13442 Thorncreek Cir Thornton CO 80241-3902 |
| Mailing Address |
Po Box 552 Eastlake CO 80614-0552 |
| Practice Telephone | 7204368821 |
| Mailing Fax Number | 7205527231 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | ANTHONY FABRE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7204368821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
13-460 | CO | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Blue Mountain Surgical Assisting | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Blue Mountain Surgical Assisting, llc | Po Box 552, Eastlake, CO 80614 |
| Street Address |
13442 THORNCREEK CIR |
| City | THORNTON |
| State | CO |
| Zip Code | 80241-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787991 | Melanie Tyler | Counselor | 12301 Pennsylvania, Suite 101, Thornton, CO 80241 | 2020-03-31 |
| 1487218699 | Diane Marie Hansen | Counselor | 491 E 133rd Way, Thornton, CO 80241 | 2019-04-24 |
| 1164979712 | James Brannan | Contractor | 13364 Birch Court, Thornton, CO 80241 | 2016-09-01 |
| 1083925200 | Keralee Vought | Social Worker | 12015 Grape St, Thornton, CO 80241 | 2010-06-23 |
| 1770767675 | Charles E Januschka | Chiropractor | 3953b E 120th Ave, Thornton, CO 80241 | 2007-12-27 |
| 1407928724 | Erica A Derby | Dentist | 2800 East 136th Avenue, Thornton, CO 80241 | 2006-11-14 |
| 1558445361 | Carolyn Watt Mauterer | Dentist | 2800 E 136th Ave, Thornton, CO 80241 | 2006-10-25 |
| 1215046842 | Adams 12 Five Star Schools | Local Education Agency (LEA) | 1500 E 128th Avenue, Adams 12 Five Star Schools C/o Sandra Sellstrom, Thornton, CO 80241 | 2006-08-29 |
| 1366932162 | University of Colorado Hospital Authority | Clinic/Center | 12020 Colorado Blvd, Thornton, CO 80241 | 2018-05-16 |
| 1376077438 | Spencer Del Moral | Student in an Organized Health Care Education/Training Program | 4075 E 128th Ave, Thornton, CO 80241 | 2017-04-16 |
| Find all providers in zip 80241 | ||||
| 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 |
|---|---|---|---|---|
| 1457822975 | Woke | Specialist/Technologist, Other | 1336 E 101st Ave, Thornton, CO 80229-3970 | 2018-12-10 |
| 1891200077 | Dwain Rosse | Specialist/Technologist, Other | 3758 E 104th Ave # 102, Thornton, CO 80233-4434 | 2017-12-09 |
| 1306373352 | Personal Surgical Services | Specialist/Technologist, Other | 11354 Jersey St, Thornton, CO 80233-5523 | 2017-05-20 |
| 1386875276 | Salvatore Anthony Depasquale | Specialist/Technologist, Other | 87 Indianwood Dr, Thornton, IL 60476 | 2009-07-27 |
| 1740749738 | Victor Anghel | Specialist/Technologist, Other | 9191 Grant St, Thornton, CO 80229-4361 | 2019-03-18 |
| 1194201640 | Genesis Surgical Assisting LLC | Specialist/Technologist, Other | 3758 E 104th Ave # 102, Thornton, CO 80233-4434 | 2018-07-18 |
| 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 |
| 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.