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25/34 PLASTIC SURGERY ASSOCIATES PC NPI 1811142524


NPI Information

NPI: 1811142524
Provider Name: 25/34 PLASTIC SURGERY ASSOCIATES, PC

Doing Business As: GONYON COSMETIC & PLASTIC SURGERY, PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4450 UNION ST.
SUITE 100
JOHNSTOWN, CO
ZIP 80534
Phone: (970) 624-7979
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25/34 PLASTIC SURGERY ASSOCIATES, PC is a specialist in Johnstown, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. 25/34 PLASTIC SURGERY ASSOCIATES, PC NPI is 1811142524. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gonyon Cosmetic & Plastic Surgery, Pc.

The provider's business location address is:

4450 UNION ST.
SUITE 100
JOHNSTOWN, CO
ZIP 80534-001
Phone: (970) 624-7979
Fax: (970) 624-7980

The provider's authorized official is Denis L Gonyon .
The authorized official title is Owner and has the following contact phone number (970) 624-7979.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist43327COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112683027MEDICAIDCOLORADO
2H72334MEDICARE UPINCOLORADO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.