Provider Demographics
NPI:1245239268
Name:MUSCULOSKELETAL SURGERY CENTER OF COLORADO
Entity Type:Organization
Organization Name:MUSCULOSKELETAL SURGERY CENTER OF COLORADO
Other - Org Name:MUSCULOSKELETAL SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-287-2800
Mailing Address - Street 1:DEPT 1063
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80256-0001
Mailing Address - Country:US
Mailing Address - Phone:303-288-4694
Mailing Address - Fax:303-288-4697
Practice Address - Street 1:9005 GRANT ST
Practice Address - Street 2:SUITE #300
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4300
Practice Address - Country:US
Practice Address - Phone:303-288-4694
Practice Address - Fax:303-288-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0572261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO654031OtherBLUE CROSS BLUE SHIELD
COP00126001OtherRAILROAD MEDICARE
CO00212806101OtherUNITED HEALTHCARE
CO7483316OtherAETNA
CO7483316OtherAETNA