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CENTENNIAL SURGICAL ASSOCIATES,PLLC
NPI 1275541666
Surgery in Pueblo, CO

Active since August 03, 2006
1600 N GRAND AVE, STE 510, PUEBLO, CO 81003(719) 566-3535(719) 566-3565 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Centennial Surgical Associates,pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL SURGICAL ASSOCIATES,PLLC (NPI 1275541666) is a healthcare organization registered as a surgery in Pueblo, Colorado and active in the NPI registry since August 2006. The organization lists Bruce Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1275541666
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCENTENNIAL SURGICAL ASSOCIATES,PLLC
Location Address1600 N GRAND AVE, STE 510Pueblo, CO 81003-2700
Mailing Address1600 N Grand Ave, Ste 510Pueblo, CO 81003-2700 · (719) 566-3535 · Fax (719) 566-3565
Phone(719) 566-3535
Fax(719) 566-3565
Organization SubpartNo
Authorized OfficialBruce JohnsonOwner · (719) 566-3535
Enumeration DateAugust 3, 2006
Last NPPES UpdateOctober 21, 2010
✔ NPI 1275541666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
1600 N GRAND AVE, Pueblo, CO 81003
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Other Identifiers 2

Medicare ID-Type Unspecified391508
Medicaid24179078CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREL ELIZABETH WRIGHT M.D.
Obstetrics & Gynecology
1600 N GRAND AVE, SUITE 400
PUEBLO, CO 81003
Pueblo County (719) 543-4000
GREG ALAN BOWMAN MD
Internal Medicine (Cardiovascular Disease)
1600 N GRAND AVE, SUITE 500
PUEBLO, CO 81003
Pueblo County (719) 545-0663
DIGESTIVE DISEASES SPECIALISTS OF COLORADO,LLC
Internal Medicine (Gastroenterology)
1600 N GRAND AVE, SUITE 440
PUEBLO, CO 81003
Pueblo County (719) 543-3500
GARY GENE WOFFORD M.D.
Exclusive Provider Organization
1600 N GRAND AVE, #230
PUEBLO, CO 81003
Pueblo County (719) 562-1000
ASHAKIRAN J. SUNKU, M.D., LLC
Psychiatry & Neurology (Neurology)
1600 N GRAND AVE, SUITE: 110
PUEBLO, CO 81003
Pueblo County (719) 546-9500
MICHAEL LEE KING M.D.
Surgery
1600 N GRAND AVE, STE 510
PUEBLO, CO 81003
Pueblo County (719) 566-3535
KYLEE PROVOST DNP
Nurse Practitioner
1600 N GRAND AVE
PUEBLO, CO 81003
Pueblo County (719) 546-2500
SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES
Internal Medicine
1600 N GRAND AVE
PUEBLO, CO 81003
Pueblo County (719) 542-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Surgical Associates,pllc's NPI number?

The NPI number for Centennial Surgical Associates,pllc is 1275541666. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Centennial Surgical Associates,pllc located?

Centennial Surgical Associates,pllc is located at 1600 N Grand Ave Ste 510, Pueblo, CO 81003. The listed phone number is (719) 566-3535.

What is Centennial Surgical Associates,pllc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Centennial Surgical Associates,pllc was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.