Provider Demographics
NPI:1326582032
Name:SURGICAL CONSULTANTS OF AURORA PC
Entity Type:Organization
Organization Name:SURGICAL CONSULTANTS OF AURORA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TURNER
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-337-5600
Mailing Address - Street 1:1421 S POTOMAC ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4535
Mailing Address - Country:US
Mailing Address - Phone:303-337-5600
Mailing Address - Fax:303-337-7734
Practice Address - Street 1:1444 S POTOMAC ST
Practice Address - Street 2:SUITE 190
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4508
Practice Address - Country:US
Practice Address - Phone:303-337-5600
Practice Address - Fax:303-337-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29564208600000X
CO40410208600000X
CO36848208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79675034Medicaid