Provider Demographics
NPI:1598866832
Name:COLUMBINE SURGICAL ASSISTING
Entity Type:Organization
Organization Name:COLUMBINE SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTENE
Authorized Official - Middle Name:CHAMBERS
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:720-352-1423
Mailing Address - Street 1:1821 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-7205
Mailing Address - Country:US
Mailing Address - Phone:720-352-1423
Mailing Address - Fax:303-926-8207
Practice Address - Street 1:1821 GORDON DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-7205
Practice Address - Country:US
Practice Address - Phone:720-352-1423
Practice Address - Fax:303-926-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00F706246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty