ROARING FORK SURGICAL ASSOCIATES PROF LLC
NPI 1447308465
Surgery in Glenwood Springs, CO

Q: What is Roaring Fork Surgical Associates Prof LLC's specialty?

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

Active since January 08, 2007

1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601(970) 945-6533(970) 945-3945 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2018, Feb 9, 2016 (2 updates tracked since 2016).

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About Roaring Fork Surgical Associates Prof Llc NPPES

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

ROARING FORK SURGICAL ASSOCIATES PROF LLC (NPI 1447308465) is a healthcare organization registered as a surgery in Glenwood Springs, Colorado and active in the NPI registry since January 2007. The organization lists Brad Nichol, General Surgeon, as its authorized official.

NPPES Registry Identity

NPI1447308465

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameROARING FORK SURGICAL ASSOCIATES PROF LLC

Location Address1906 BLAKE AVEGlenwood Springs, CO 81601-4227

Mailing Address1906 Blake AveGlenwood Springs, CO 81601-4227 · (970) 945-6533 · Fax (970) 945-3945

Phone(970) 945-6533

Fax(970) 945-3945

Organization SubpartNo

Authorized OfficialBrad NicholGeneral Surgeon · (970) 945-6533

Enumeration DateJanuary 8, 2007

Last NPPES UpdateFebruary 21, 20182 updates tracked since enumeration

✔ NPI 1447308465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CO · 80.05611.1

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.

1906 BLAKE AVE, Glenwood Springs, CO 81601

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Other Identifiers 3

Medicaid04020459CO

OtherCG 5876CO · Rr Medicare

Other607484CO · Bcbs

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 MULTIPLE 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. ERIC JERNIGAN MD

Surgery