CENTENNIAL SURGICAL ASSOCIATES,PLLC
NPI 1275541666
Surgery in Pueblo, CO
NPI Status: Active since August 03, 2006
Contact Information
1600 N GRAND AVE
STE 510
PUEBLO, CO
ZIP 81003
Phone: (719) 566-3535
Fax: (719) 566-3565
- Organization
- Surgery
About CENTENNIAL SURGICAL ASSOCIATES,PLLC
This page provides the complete NPI Profile along with additional information for Centennial Surgical Associates,pllc, a provider established in Pueblo, Colorado operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1275541666 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Bruce Johnson M.d. (Owner)
- NPI
- 1275541666
- Provider Name
- CENTENNIAL SURGICAL ASSOCIATES,PLLC
- Entity Type
- Organization
- Location Address
- 1600 N GRAND AVE STE 510 PUEBLO, CO 81003
- Location Phone
- (719) 566-3535
- Location Fax
- (719) 566-3565
- Mailing Address
- 1600 N GRAND AVE STE 510 PUEBLO, CO 81003
- Mailing Phone
- (719) 566-3535
- Mailing Fax
- (719) 566-3565
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2006
- Last Update Date
- 10-21-2010
- Code Navigator
A surgeon like Centennial Surgical Associates,pllc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391508 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 24179078 | MEDICAID (05) | CO |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 4 | 1 | 6 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 4 | 2 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 4 + 2 + 6 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1275541666 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669433751 | CARL W ADAMS MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 N GRAND AVE SUITE 500 PUEBLO, CO 81003 (719) 545-0663 |
| 1245295013 | GREGORY W BERENS MD Individual | Family Medicine | 1600 N GRAND AVE SUITE 310 PUEBLO, CO 81003 (719) 542-0072 |
| 1558326264 | HARRY R KEEFE MD Individual | Family Medicine | 1600 N GRAND AVE STE 310 PUEBLO, CO 81003 (719) 542-0072 |
| 1154386365 | NANCY S CHUCH MD Individual | Family Medicine | 1600 N GRAND AVE STE 310 PUEBLO, CO 81003 (719) 542-0072 |
| 1801828850 | DR. LORAINE LYNN CARROLL M.D. Individual | Pediatrics | 1600 N GRAND AVE SUITE 240 PUEBLO, CO 81003 (719) 296-2305 |
| 1720001159 | GORDON DAVID MURLEY M.D. Individual | Surgery | 1600 N GRAND AVE STE 430 PUEBLO, CO 81003 (719) 545-8240 |
| 1538183793 | BRUCE MICHAEL JOHNSON M.D. Individual | Surgery | 1600 N GRAND AVE STE 510 PUEBLO, CO 81003 (719) 566-3535 |
| 1073537239 | MICHAEL LEE KING M.D. Individual | Surgery | 1600 N GRAND AVE STE 510 PUEBLO, CO 81003 (719) 566-3535 |
| 1700970142 | BRENDA KAE CARVER-TORRES FNP-C Individual | Nurse Practitioner | 1600 N GRAND AVE SUITE 440 PUEBLO, CO 81003 (719) 543-3500 |
| 1174603005 | ASHAKIRAN J SUNKU M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1600 N GRAND AVE SUITE: 110 PUEBLO, CO 81003 (719) 546-9500 |
| 1184798217 | DR. NAGASWARA RAO YARLAGADDA MD Individual | Pediatrics | 1600 N GRAND AVE #240 PUEBLO, CO 81003 (719) 295-2305 |
| 1124192141 | SALLY M BERRYMAN MD Individual | Obstetrics & Gynecology (Obstetrics) | 1600 N GRAND AVE SUITE 400 PUEBLO, CO 81003 (719) 543-4000 |
| 1962553172 | CHILDREN'S CLINIC OF PUEBLO, PC Organization | Pediatrics | 1600 N GRAND AVE SUITE 240 PUEBLO, CO 81003 (719) 295-2305 |
| 1851437636 | DR. MICHAEL O. GROWNEY MD, FACOG Individual | Obstetrics & Gynecology | 1600 N GRAND AVE SUITE 400 PUEBLO, CO 81003 (719) 543-4000 |
| 1841418563 | STEPHEN A. SMITH, MD, PC Organization | Psychiatry & Neurology (Neurology) | 1600 N GRAND AVE SUITE 120 PUEBLO, CO 81003 (719) 545-9292 |
| 1770788770 | SUNSHINE MEDICAL GROUP PLLC Organization | Internal Medicine | 1600 N GRAND AVE SUITE 120 PUEBLO, CO 81003 (719) 545-9292 |
| 1063604874 | ASHAKIRAN J. SUNKU, M.D., LLC Organization | Psychiatry & Neurology (Neurology) | 1600 N GRAND AVE SUITE: 110 PUEBLO, CO 81003 (719) 546-9500 |
| 1629246665 | CARLA JEAN JACKSON-HOWARD ACNP-BC Individual | Nurse Practitioner (Acute Care) | 1600 N GRAND AVE STE 530 PUEBLO, CO 81003 (719) 595-7790 |
| 1720364177 | ANESTHESIA MANAGEMENT SERVICES, LLC Organization | Nurse Anesthetist, Certified Registered | 1600 N GRAND AVE SUITE 420 PUEBLO, CO 81003 (719) 546-2500 |
| 1457354763 | MR. HISMAN H PERCIVAL MD Individual | Surgery | 1600 N GRAND AVE SUITE 430 PUEBLO, CO 81003 (719) 545-8240 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275541666, enumerated in the NPI registry as an "organization" on August 03, 2006
The provider is located at 1600 N Grand Ave Ste 510 Pueblo, Co 81003 and the phone number is (719) 566-3535
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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