1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Physician Assistant
  6. NPI Profile

AVALON SURGICAL PC
NPI 1962896563
Physician Assistant - Surgical in Denver, CO

Active since March 23, 2015
700 COLORADO BLVD, STE 115, DENVER, CO 80206(281) 324-5660 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avalon Surgical Pc NPPES

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

AVALON SURGICAL PC (NPI 1962896563) is a healthcare organization registered as a surgical in Denver, Colorado and active in the NPI registry since March 2015. The organization lists Fred J Diss, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1962896563
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameAVALON SURGICAL PC
Location Address700 COLORADO BLVD, STE 115Denver, CO 80206-4084
Mailing AddressPo Box 1288Crosby, TX 77532-1288 · (281) 324-5660
Phone(281) 324-5660
Organization SubpartNo
Authorized OfficialFred J DissRegistered Agent · (281) 324-5660
Enumeration DateMarch 23, 2015
✔ NPI 1962896563 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
700 COLORADO BLVD, Denver, CO 80206
Open in Google Maps ↗

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.

KEESHA N BASEL OTR
Occupational Therapist
700 COLORADO BLVD, #318
DENVER, CO 80206
Denver County (866) 801-9492
MICHELLE ANN YATES M.S., CCC-SLP
Speech-Language Pathologist
700 COLORADO BLVD, #318
DENVER, CO 80206
Denver County (866) 801-9492
MARILYN HARPER VARNER OTR
Occupational Therapist
700 COLORADO BLVD, 318
DENVER, CO 80206
Denver County (866) 801-9492
MISS BRENDA HOWELL OTR
Occupational Therapist
700 COLORADO BLVD, STE 318
DENVER, CO 80206
Denver County (866) 801-9492
MARIAN REAGAN CORHERN
Occupational Therapy Assistant
700 COLORADO BLVD, # 318
DENVER, CO 80206
Denver County (866) 801-9492
MICHAEL JAENNETTE PTA
Physical Therapy Assistant
700 COLORADO BLVD, #318
DENVER, CO 80206
Denver County (866) 801-9492
LAURA CRIHFIELD
Nurse's Aide
700 COLORADO BLVD, #318
DENVER, CO 80206
Denver County (303) 339-7400
KATHLEEN MARIE WENDELL CNA
Nurse's Aide
700 COLORADO BLVD, UNIT 318
DENVER, CO 80206
Denver County (866) 801-9492

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 Avalon Surgical PC's NPI number?

The NPI number for Avalon Surgical PC is 1962896563. It was assigned to this organization in the NPPES registry on March 23, 2015.

Where is Avalon Surgical PC located?

Avalon Surgical PC is located at 700 Colorado Blvd Ste 115, Denver, CO 80206. The listed phone number is (281) 324-5660.

What is Avalon Surgical PC'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 Avalon Surgical PC was last updated on March 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.