Provider Demographics
NPI:1578584660
Name:FRONT RANGE SURGICAL ASSOCIATES,P.C.
Entity Type:Organization
Organization Name:FRONT RANGE SURGICAL ASSOCIATES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARLITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-428-0004
Mailing Address - Street 1:8300 ALCOTT ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4008
Mailing Address - Country:US
Mailing Address - Phone:303-428-0004
Mailing Address - Fax:
Practice Address - Street 1:8300 ALCOTT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4008
Practice Address - Country:US
Practice Address - Phone:303-428-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04020236Medicaid
COFRU8108OtherBLUE SHIELD
COCN2778OtherRAILROAD MEDICARE
COCU8108Medicare PIN