SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C. (NPI# 1811917669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811917669 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C. |
| Practice Address |
1060 Orchard Ave Suite I Grand Junction CO 81501-2997 |
| Practice Telephone | 9702439340 |
| Practice Fax Number | 9702416894 |
| Mailing Telephone | 9702439340 |
| Mailing Fax Number | 9702416894 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | DEBBIE D JOHNS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9702541686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04009023 | 05 | |
| CO | ANTHEM BCBS GROUP# | SUU7808 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C. | 2373 G Road, Suite 280, Grand Junction, CO 81505 |
| Street Address |
1060 ORCHARD AVE SUITE I |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033195920 | Annette Lynn Johnson | Nurse Practitioner | 1060 Orchard Ave, Suite N, Grand Junction, CO 81501-2997 | 2005-12-21 |
| 1053860387 | Ryan Glynn Goodman | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2016-09-28 |
| 1598181927 | Melanie Dawne Hoch | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2014-03-10 |
| 1104260124 | Jamie B Barnes | Pharmacist | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2013-04-21 |
| 1386952331 | Amanda Elizabeth Fisk | Registered Nurse | 1060 Orchard Ave, Suite I, Grand Junction, CO 81501-2997 | 2010-09-23 |
| 1629201637 | Community Medical Group, LLC | Family Medicine | 1060 Orchard Ave, Suite N, Grand Junction, CO 81501-2997 | 2009-08-25 |
| 1740442748 | Nina Gene West | Physician Assistant | 1060 Orchard Ave, Ste I, Grand Junction, CO 81501-2997 | 2008-06-30 |
| 1508035403 | Kevin K Howell | Obstetrics & Gynecology | 1060 Orchard Ave, Ste F, Grand Junction, CO 81501-2997 | 2008-02-25 |
| 1942499124 | Med-x., P.C. | Clinic/Center | 1060 Orchard Ave, Suite N, Grand Junction, CO 81501-2997 | 2007-10-23 |
| 1790906261 | Melissa A Schmalz | Family Medicine | 1060 Orchard Ave, Suite H, Grand Junction, CO 81501-2997 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811375223 | Darren Eugene Nisly | Surgery | General Surgeons of Western Colorado, 2440 N 11th St, Grand Junction, CO 81501-8102 | 2015-05-18 |
| 1639373707 | Glenn Ross Kempeers | Surgery | 819 26.5 Rd, Grand Junction, CO 81506 | 2007-06-13 |
| 1710088323 | Douglas Edward Rosendale | Surgery | 2121 North Ave., Grand Junction, CO 81501 | 2006-09-26 |
| 1639282833 | Stephen C Axthelm | Surgery | 1057 Lakeside Ct, Grand Junction, CO 81506-2817 | 2006-08-15 |
| 1821001033 | Stuart H Ackley | Surgery | 1001 Wellington Ave, Grand Junction, CO 81501-8122 | 2006-08-15 |
| 1154361046 | Bradley Alan Baldwin | Surgery | 2373 G Rd Ste 280, Surgical Associates, Grand Junction, CO 81505-1006 | 2006-06-08 |
| 1124073705 | Amanda M Mcsweeney | Surgery | 236 Red Rim Dr, Grand Junction, CO 81507 | 2006-05-23 |
| 1689669657 | Harold Alan Fenster | Surgery | 2630 H 3/4 Rd, Grand Junction, CO 81506-1708 | 2005-09-15 |
| 1932106549 | James J Hanosh Jr. | Surgery | 2440 N 11th St, Grand Junction, CO 81501-8102 | 2005-06-29 |
| 1598376337 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 604 25 Rd, Grand Junction, CO 81505-1202 | 2020-08-14 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on SURGICAL ASSOCIATES OF WESTERN COLORADO, P.C..
| 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.