LUTHERAN CAMPUS ASC LLC NPI 1124086608

NPI Information

  • NPI: 1124086608
  • Provider Name: LUTHERAN CAMPUS ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE SURGERY CENTER AT LUTHERAN
  • CLIA Number: 06D1051951
  • Address: 12905 W 40TH AVE STE 100
    GOLDEN, CO
    ZIP 80401
  • Phone: (303) 301-7700

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NPI Details

LUTHERAN CAMPUS ASC LLC is an ambulatory surgical clinic center in Golden, CO. LUTHERAN CAMPUS ASC LLC NPI is 1124086608. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center At Lutheran.

The provider's business location address is:

12905 W 40TH AVE STE 100
GOLDEN, CO
ZIP 80401-791
Phone: (303) 301-7700
Fax: (303) 301-7701

The provider's authorized official is Jennifer Decker .
The authorized official title is Chief Administrative Officer and has the following contact phone number (303) 301-7705.

The CLIA number assigned to this NPI record is 06D1051951 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Correction of toe joint deformity (HCPCS:28285)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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