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SMITH MEDICAL DIRECT SPECIALTY CARE SUGERY CENTER OF DENVER PC
NPI 1366218539
Surgery in Littleton, CO

Active since November 29, 2023CLIA 06D2289596 · Waiver
8515 W COAL MINE AVE STE 240, LITTLETON, CO 80123(720) 912-8289(720) 677-1193 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smith Medical Direct Specialty Care Sugery Center Of Denver Pc NPPES

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

SMITH MEDICAL DIRECT SPECIALTY CARE SUGERY CENTER OF DENVER PC (NPI 1366218539) is a healthcare organization registered as a surgery in Littleton, Colorado and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Lisa Fagan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366218539
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSMITH MEDICAL DIRECT SPECIALTY CARE SUGERY CENTER OF DENVER PC
Location Address8515 W COAL MINE AVE STE 240Littleton, CO 80123-4429
Mailing Address8515 W Coal Mine Ave Ste 240Littleton, CO 80123-4429 · (720) 912-8289 · Fax (720) 677-1193
Phone(720) 912-8289
Fax(720) 677-1193
Organization SubpartNo
Authorized OfficialLisa FaganCeo · (720) 912-8289
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1366218539 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.
8515 W COAL MINE AVE STE 240, Littleton, CO 80123
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2289596

Smith Medical Direct Specialty Care Surgery Center Of Denver · Littleton, CO
Active · expires Sep 12, 2027
CLIA Number06D2289596
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorLizabeth Fagan
Laboratory Phone(720) 912-8289
Laboratory LocationSmith Medical Direct Specialty Care Surgery Center Of Denver8515 W Coal Mine Ave, Littleton, CO 80123
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Preventive Medicine (Occupational Medicine)
8515 W COAL MINE AVE STE 240
LITTLETON, CO 80123
Jefferson County (303) 403-6850

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 Smith Medical Direct Specialty Care Sugery Center Of Denver PC's NPI number?

The NPI number for Smith Medical Direct Specialty Care Sugery Center Of Denver PC is 1366218539. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Smith Medical Direct Specialty Care Sugery Center Of Denver PC located?

Smith Medical Direct Specialty Care Sugery Center Of Denver PC is located at 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123. The listed phone number is (720) 912-8289.

What is Smith Medical Direct Specialty Care Sugery Center Of Denver PC's specialty?

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

Does Smith Medical Direct Specialty Care Sugery Center Of Denver PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2289596) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smith Medical Direct Specialty Care Sugery Center Of Denver PC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.