ST. VRAIN ENDOSCOPY CENTER LLC (NPI# 1801822341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801822341 |
| Entity Type | Organization |
| Organization Name | ST. VRAIN ENDOSCOPY CENTER LLC |
| Practice Address |
1551 Professional Ln Suite 295 Longmont CO 80501-6972 |
| Mailing Address |
382 S Arthur Ave Louisville CO 80027-3094 |
| Practice Telephone | 3037025900 |
| Practice Fax Number | 7208900502 |
| Mailing Telephone | 7209327713 |
| Mailing Fax Number | 7208900502 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DR. PETER S. KAYE (MANAGING PARTNER) |
| Authorized Official Telephone | 7209327713 |
| Authorized Official Credential | M.D., F.A.C.G. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
162 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | P00128204 | 01 |
| CO | 08677344 | 05 | |
| CO | BCBS | ST66577 | 01 |
| Street Address |
1551 PROFESSIONAL LN SUITE 295 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745683 | Kevin W Riddleberger | Physician Assistant | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2005-07-28 |
| 1225639008 | Alan E Benson, Md, PC | Specialist | 1551 Professional Ln, Longmont, CO 80501-6972 | 2020-11-06 |
| 1821540360 | Kathleen Retzke | Specialist/Technologist | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2016-11-01 |
| 1235688300 | Stephanie Caroline Wilson | Physician Assistant | 1551 Professional Ln, Suite 220, Longmont, CO 80501-6972 | 2016-09-29 |
| 1629527494 | Cher LLC | Radiology | 1551 Professional Ln, Suite 175, Longmont, CO 80501-6972 | 2016-09-22 |
| 1699156299 | Emily Orient Harris | Physical Therapist | 1551 Professional Ln, Suite 145, Longmont, CO 80501-6972 | 2015-06-09 |
| 1508261165 | Jennifer Robinson | Massage Therapist | 1551 Professional Ln, Suite 180, Longmont, CO 80501-6972 | 2014-10-24 |
| 1548663768 | Kiley Stavnes | Specialist/Technologist | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2014-10-01 |
| 1861892986 | William Underwood | Acupuncturist | 1551 Professional Ln, Suite 180, Longmont, CO 80501-6972 | 2014-08-26 |
| 1427479534 | Dean Hocking | Acupuncturist | 1551 Professional Ln, Longmont, CO 80501-6972 | 2013-12-17 |
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| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1720127483 | Front Range Orthopedic Surgery Center LLC | Clinic/Center | 1610 Dry Creek Dr., Longmont, CO 80503-6405 | 2007-02-06 |
| 1780130252 | Longmont-mountain View Surgery Center LLC | Clinic/Center | 2030 Mountain View Ave, Suite 100, Longmont, CO 80501-3178 | 2016-08-25 |
| 1770958522 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2015-12-04 |
| 1811148869 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1551 Professional Ln, Suite 290, Longmont, CO 80501-6972 | 2008-10-08 |
| 1063582427 | Longmont Surgery Center, LLC | Clinic/Center | 2030 W Mountain View Ave, # 100, Longmont, CO 80501 | 2006-11-09 |
| 1497735559 | Colorado Endoscopy Centers, LLC | Clinic/Center | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2006-01-17 |
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| 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 |
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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.