ENDOSCOPY CENTER OF THE ROCKIES LLC (NPI# 1811148869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811148869 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF THE ROCKIES LLC |
| Practice Address |
1551 Professional Ln Suite 290 Longmont CO 80501-6972 |
| Mailing Address |
382 S Arthur Ave Louisville CO 80027-3094 |
| Practice Telephone | 7209327713 |
| Mailing Telephone | 3036045000 |
| Mailing Fax Number | 7208900364 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | DAUS MAHNKE (BOARD MEMBER) |
| Authorized Official Telephone | 3036045000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | 490005424 | 01 |
| CO | BCBS | EN64670 | 01 |
| CO | 95055011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558526293 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2008-07-22 |
| 1700807617 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1000 W South Boulder Rd, Suite 202, Lafayette, CO 80026-2752 | 2006-07-23 |
| Street Address |
1551 PROFESSIONAL LN SUITE 290 |
| 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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|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
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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 |
|---|---|---|---|---|
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 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 |
| 1063582427 | Longmont Surgery Center, LLC | Clinic/Center | 2030 W Mountain View Ave, # 100, Longmont, CO 80501 | 2006-11-09 |
| 1801822341 | St. Vrain Endoscopy Center LLC | Clinic/Center | 1551 Professional Ln, Suite 295, Longmont, CO 80501-6972 | 2006-06-25 |
| 1497735559 | Colorado Endoscopy Centers, LLC | Clinic/Center | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2006-01-17 |
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|---|---|---|---|---|
| 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 |
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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.