SURGICAL SPECIALISTS OF CENTENNIAL
NPI 1447703558
Physician Assistant - Surgical in Greenwood Village, CO

Active since July 26, 2016
5380 AUTUMN DR, GREENWOOD VILLAGE, CO 80111(720) 974-2506 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgical Specialists Of Centennial NPPES

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

SURGICAL SPECIALISTS OF CENTENNIAL (NPI 1447703558) is a healthcare organization registered as a surgical in Greenwood Village, Colorado and active in the NPI registry since July 2016. The organization lists Zaki Ibrahim, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1447703558
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSURGICAL SPECIALISTS OF CENTENNIAL
Location Address5380 AUTUMN DRGreenwood Village, CO 80111-3424
Mailing AddressPo Box 4446Parker, CO 80134-1451 · (720) 974-2506
Organization SubpartNo
Authorized OfficialZaki IbrahimOwner/physician · (720) 974-2506
Enumeration DateJuly 26, 2016
NPI 1447703558 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 · PA-0001715
5380 AUTUMN DR, Greenwood Village, CO 80111

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 2

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

Psychiatry & Neurology (Neurology)
5380 AUTUMN DR
GREENWOOD VILLAGE, CO 80111
Registered Nurse
5380 AUTUMN DR
GREENWOOD VILLAGE, CO 80111

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 Surgical Specialists Of Centennial's NPI number?

The NPI number for Surgical Specialists Of Centennial is 1447703558. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Surgical Specialists Of Centennial located?

Surgical Specialists Of Centennial is located at 5380 Autumn Dr, Greenwood Village, CO 80111. The listed phone number is (720) 974-2506.

What is Surgical Specialists Of Centennial'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 Surgical Specialists Of Centennial was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.