ST. VRAIN SURGICAL ASSISTS LLC NPI 1316056260

NPI Information

  • NPI: 1316056260
  • Provider Name: ST. VRAIN SURGICAL ASSISTS, LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 77 BAYLOR DR
    LONGMONT, CO
    ZIP 80503
  • Phone: (303) 819-2025

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NPI Details

ST. VRAIN SURGICAL ASSISTS, LLC is a surgical physician assistant in Longmont, CO. ST. VRAIN SURGICAL ASSISTS, LLC NPI is 1316056260. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

77 BAYLOR DR
LONGMONT, CO
ZIP 80503-148
Phone: (303) 819-2025
Fax: (720) 494-0995

The provider's authorized official is Bill J Parker .
The authorized official title is Owner/mgr and has the following contact phone number (303) 819-2025.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/6/2007.

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
1363AS0400XPhysician AssistantSurgical519COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C801455MEDICARE PINCOLORADO

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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