Provider Demographics
NPI:1639447154
Name:NOVAMED SURGERY CENTER OF DENVER LLC
Entity Type:Organization
Organization Name:NOVAMED SURGERY CENTER OF DENVER LLC
Other - Org Name:CHERRY HILLS SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER AND AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:BALDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-234-5954
Mailing Address - Street 1:3535 S LAFAYETTE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3954
Mailing Address - Country:US
Mailing Address - Phone:866-631-7890
Mailing Address - Fax:847-227-2750
Practice Address - Street 1:3535 S LAFAYETTE ST STE 200
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3954
Practice Address - Country:US
Practice Address - Phone:866-631-7890
Practice Address - Fax:303-282-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty