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ST. VRAIN SURGICAL ASSISTS, LLC
NPI 1316056260
Physician Assistant - Surgical in Longmont, CO

Active since August 30, 2006
77 BAYLOR DR, LONGMONT, CO 80503(303) 819-2025(720) 494-0995 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Vrain Surgical Assists, Llc NPPES

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

ST. VRAIN SURGICAL ASSISTS, LLC (NPI 1316056260) is a healthcare organization registered as a surgical in Longmont, Colorado and active in the NPI registry since August 2006. The organization lists Bill J Parker, Owner/mgr, as its authorized official.

NPPES Registry Identity

NPI1316056260
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameST. VRAIN SURGICAL ASSISTS, LLC
Location Address77 BAYLOR DRLongmont, CO 80503-2148
Mailing Address77 Baylor DrLongmont, CO 80503-2148 · (303) 819-2025 · Fax (720) 494-0995
Phone(303) 819-2025
Fax(720) 494-0995
Organization SubpartNo
Authorized OfficialBill J ParkerOwner/mgr · (303) 819-2025
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1316056260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 519
77 BAYLOR DR, Longmont, CO 80503
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Other Identifiers 1

Medicare PINC801455CO

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

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 St. Vrain Surgical Assists, LLC's NPI number?

The NPI number for St. Vrain Surgical Assists, LLC is 1316056260. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is St. Vrain Surgical Assists, LLC located?

St. Vrain Surgical Assists, LLC is located at 77 Baylor Dr, Longmont, CO 80503. The listed phone number is (303) 819-2025.

What is St. Vrain Surgical Assists, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for St. Vrain Surgical Assists, LLC was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.